Wednesday, March 12, 2014

Still Waiting...

So it has definitely been a while since I have written.  I have kind of been waiting to have something different to say, but....

Well I have been having a hard time since I had to go off the Cymbalta, not so much depression wise, but side effect wise.  As of my last entry we had added generic Wellbutrin to the generic Prozac I was taking in the hopes that it would help with the crazy dreams I have been having.  This is where I stand right now with that.  On both medications my side effects did get worse.  Three of these side effects have had a huge impact on the quality of sleep I have been getting.  The first factor of course is the dreams.  I have always been a crazy dreamer but normally that effect is cyclical.  During some days of the month I have more crazy dreams and wake up more often, and during other points it is usually about two times a night that I wake up.  When I say crazy dreams what I mean is my dreams just get me caught up in these intense and confusing stories that leave me waking up feeling like I just ran a three day marathon.  I wish my brain had a shut off switch but it doesn't.  I have long ago accepted this, but I need to get the dream level back to two wake ups a night instead of every single hour.

So at this point I am completely weaned off the Prozac and am only taking Wellbutrin.  This has been somewhat better, I don't feel as groggy during the day as I did when I was on both medications.  I am still battling the dreams though.  I have to take Benadryl or Tylenol PM to get any improvement in my sleep at all, and even with that I am still waking up every hour and a half to two hours.

Then there are the other side effects impacting my sleep which are extremely annoying night sweats,  and dry mouth.  I am constantly waking up thirsty.

Then there is the non medication side effect of parenthood...there has been a lot of this:
At least three or four times a week this little guy wakes up scared and wants a cuddle.  About half the time he does go back to his own bed, the other half of the time we spend the night with his toeys (Matt's word for toes) digging into one of us and his head digging into the other one.  This has been going on for I don't even know how long now.  This past week he was up in the night for two nights with a bad cold that resulted in an ear infection.  I don't mind getting up when he is sick, but I do wish that whatever keeps waking him up at night would stop.  I am always concerned that my kids are going to inherit the wild dreams that I have and that they will never get decent sleep either.

And there has been a TON of this:

Seriously, will this winter EVER end?  As I write this it is sleeting right now, which is supposed to turn to freezing rain in a few hours and then to snow...I keep telling myself that spring is coming.  I feel bad because we have been so cooped up this winter.  The snow is deep and it has been super cold, so we have been inside most of the time.  Which just makes my kids totally wild and I get a whole lot of this:
I am looking forward to better weather so we can all get out more.  I feel bad for my poor dog, I know he misses walks in the woods way more than the rest of us do.

I am relieved to be feeling less groggy taking just one medication.  It seems to be managing my depression very well, but the extreme lack of quality sleep is definitely affecting my energy and motivation levels.

When I last wrote we were still knee deep in the health insurance drama.  I am pleased to say that this has been resolved and my husband and I are now covered...and the coverage seems to be good (so far).  We just started on our new plan on March 1st.  We had temporary coverage before that.  I am so relieved to be able to just move forward now without that to worry about anymore.  I am so grateful for the my doctor.  She helped me to manage my medications over the phone while we waited for the insurance disaster to be sorted out, which is why I was able to wean off the Prozac.  Our temporary insurance covered the medications.  I finally got to see my doctor last week.  A good friend watched the kiddos so I could really talk to my doctor (kids tend to be a bit distracting in the doctor's office).  It seems that my new insurance should cover Cymbalta, which is what I used to take that worked really well.  However it does require a pre-authorization  from the insurance company.  I have been waiting on this for six days now.  After making some calls today it seems that the Pharmacy was trying to put the prescription through to the wrong insurance company, so I am still waiting.  My doctor was confident that this should get approved because of all the side effects I have been having with the other medications.  So now I am just waiting and praying that my doctor is right and everything will go through.  I am thankful that I have an excellent medical team that will advocate to work this out on my behalf.  Right now there isn't really anything I can do but wait.  Once this does go through, I should be completely off the Wellbutrin in a week and then I should start feeling more like myself again.

My husband pointed out to me that I was tired when I was taking the Cymbalta too.  I did not deny this, I am always tired, but I explained to him that there are LEVELS of tired.  The Cymbalta level of tired is easier to live with.  I would be (and I was tired) when I wasn't taking any medication at all.

If you are new to this depression thing don't be discouraged if the first medication that you take doesn't work well for you.  It can take time to find the right medication and the right dosage to get you to where you need to be.  Don't give up, it does get better.

In the meantime,  I have been working on registering one kid for Kindergarten and one kid for pre-school.  I don't know what I am going to do with myself having two kids in school, even if that will be the case only two mornings a week.  Both of my kids suddenly seem so big to me.  They have both grown so much.  I have been buying new clothes for my daughter every time I turn around.  I have been working on setting some goals and priorities, and figuring out how to get from where I am to where I want to be.  I am happy to say that our general life situation is definitely good right now.  Lots of things have been changing for the better over the last year and a half or so, and it is very exciting to see....although I wish my monkeys would slow down a little bit in the growing up department.  My little guy definitely isn't a baby anymore.  He seems so grown up....if only I could get him to use the potty.  That is not a task I am ready to take on just yet though, unless he wants to do it...in the meantime only this guy has been using the potty:

Keep moving forward!  Don't look back, it can only get better!  And hold on to the things that matter most!  Here I am with my three kids...if you look closely you can see my dog's eyes glowing.  He is a black lab so he tends to blend in with the couch :o)










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