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.