Posted by polarbear206 on December 1, 2006, at 8:02:42
In reply to Any Ideas What This Daily Pattern Is?, posted by blueberry on November 30, 2006, at 17:52:35
> For 2 years now I have experienced a strange daily pattern. I have tried to change it with things like high carb meals vs protein meals. Also tried different med dosing times. Even with supplements...like tyrosine that gives me a nice boost...the afternoon crash happens regardless. Xanax gives me a real nice mood...but fails me in the afternoon. Nothing changes the pattern. I will rate mood on a 1 to 10 scale, 10 being suicidal, 1 being fantastic.
>
> Waking = 8
> Morning = 5
> Afternoon = 9
> Evening = 3
>
> I feel really bad upon waking. I improve throughout the morning. The afternoon sinking, as I call it, is viscious and highly predictable no matter what I eat or anything. The evening bounce, as I call it, is fairly predictable no matter what I eat or anything. I've tried various meds the last 2 years. Different doses. I've tried my longtime zyprexa at 2pm, 4pm, 8pm...no difference. Even with a steady state of the long halflife of prozac there was no difference. The evening bounce comes with or without zyprexa. I drink decaf coffee.
>
> What is this pattern? Some kind of hormonal thing? Some kind of glucose thing? Some kind of bipolar thing? I don't understand it except that it is relentless. Any ideas? What am I overlooking?What meds are you taking routine? This is very familar to me. Sounds like an underlying bipolar disorder. You circadium rhythm is way off. Bright light therapy in the morning and med changes are your best bet. Have you tried Lamictal with an antidepressant?
poster:polarbear206
thread:709103
URL: http://www.dr-bob.org/babble/20061129/msgs/709279.html