The boring life of Jerod Poore, Crazymeds' Chief Citizen Medical Expert.

Pay attention moron.

As if I needed anything else to go wrong.  Shortly after waking up this morning I take the pills that were in the pill case, just like any other day, right?  Except that I took the night doses, not the morning doses.  And didn't notice until after I swallowed everything except the lamotrigine, which, of course, is the same dosage (100mg for those keeping score) both times.
So that was 250mg topiramate vs. 50mg and 30mg protriptyline vs. 10mg.
Other than being extra super spacey and completely unable to drive - hence screwing my plans for the day after they were hosed yesterday because the lack of antifreeze was enough to freeze me more than the truck - I'm not really worried about the early Topamax.  It's the protriptyline that has me concerned.  60mg in the course of 11 hours shouldn't be that big a deal, except protriptyline is one of the few crazy meds with an actual warning about, and recommendation of a dosage adjustment for people who are poor metabolizers of CYP2D6; and 60mg a day is the maximum in-patient dosage if your liver isn't as lazy as mine is.
One of the reasons why protriptyline isn't prescribed very often: complicated pharmacokinetics makes it tough to nail down a good dosage.  W00t.
I'm having second thoughts about Torrent's topiramate.  It might be as unreliable as Teva's used to be.   Or it could be I'm especially sensitive to being sleep-deprived.  I had a total of eight hours of somewhat restless sleep last night.  If I don't get that full 9-10 hours a night - and naps don't help, they just mess with me - I'll just do shit like this.

Missed the aurora, had a great aura instead

There's been a lot of solar activity lately, some of which has hit the earth's atmosphere.  For details see:
The only aurora I've seen so far made the sky look like a jigsaw puzzle where all the pieces were the same shade of faded green.  It's been too cloudy on nights with events that could be seen at this latitude.  Or I don't get the alert until it's too late.  Or I've been too out of it.  Or there's a full moon.  And when there's a lot of snow on the ground a full moon is as bright as, if not brighter than dawn.

Yesterday I had one hell of an aura.  At first I thought I needed coffee, as I've been drinking the extra strength stuff I make that's like a weird hybrid of Vietnamese and Turkish.  But no.  The headache was still there after the coffee.  Getting the electric-shock tingling sensation in the palms of my hands was new, so I thought I had slept on my arm in a strange way.  Nope.  The odd feeling in my stomach wasn't from hunger, as it stayed around after I ate.  I just zipped through the Sunday crossword puzzle, so I could think relatively clearly.  For awhile.  Eventually that stopped.  And the tingly-shocks started running down my legs as well as my arms.  My stomach tightened up, the headache was getting worse, and I began to get disoriented.  It was an aura, no doubt about it.

So take a 1mg lorazepam tablet, an extra 25mg of topiramate, 800mg of gabapentin, my usual afternoon 10mg of protriptyline and 25mg of topiramate a few hours early, crawl into bed and, for everything to go away and probably take a nap.

No such luck.

I don't know if the lorazepam has reached it's expiration date or the aura is just too strong, so I take another 1mg of lorazepam.  Eventually I pass out around 3:00 p.m.  I wake up around 1:00 a.m., stumble into the kitchen to take my nighttime dose of 250mg of topiramate, 100mg of lamotrigine, and 30mg of protriptyline.  Then it's back to bed.  Where I sleep until nearly eight this morning.  Seventeen hours of sleep and I'm still groggy and somewhat out of it.

I have no idea what brought it on.  Is Torrent's topiramate crap?  Have I been working too much on Crazy Meds?  Some days I'll work on it for five hours.  Am I sleep deprived?  Lately I'm getting only 8 to 8.5 hours a night.  Have I been drinking coffee that's too strong?  Or was it just some random epilepsy thing?

Life in epilepsyland, one never knows what could trigger a seizure.

You still haven't found what you're looking for

Every now and then I get fed up with all the whining I've done about my boring life and how much it sucks.  Considering how I don't live in Haiti, Pakistan, Afghanistan, or wherever people wish they had my problems I don't have much cause for complaint.

So if you were looking for things like "Whaleshit on the Bottom of the Ocean," or "Nothing Nice," they've been relegated to bit heaven some time ago and are unlikely to return.  I've been using what time I have when I'm functional enough to do more than feed the cats and wash dishes to work on long-overdue improvements to Crazy Meds.  I may whine more here in the future.  If you're lucky, I won't.