#tegretol
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When doctors try to convince me to stop taking the medications that are keeping me functional, due to them not being safe 'if' I become pregnant.
*A gif of House from House M.D. saying "What's the opposite of thank you?"*
#actually epileptic#chronic migraines#epilepsy#chronic illness#fibroymyalgia#spoonie#tegretol#carbamazepine#topamax#topiramate#house m.d
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We doubled my Tegretol dose this week from 300 mg twice a day to 600 mg twice a day and it’s a trip, y’all. My brain is barely in my head.
Hoping I’ll adjust quickly because it’s very uncomfortable to say the least. I’ve only been on Tegretol for two weeks so I can’t say if this is normal or not.
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yanno, for a show that seemed to always be running when i was growing up (disclaimer; I did not grow up with the channel; I only had access when visiting my mom's parents if they were even in the same state) Danny Phantom really is a short show, huh?
#personal;#I've got 7 episodes left and I could swear I remember catching bits of a good lot of them#over my cousin's shoulder or w/e#more so in the back half but not none in the front#raine watches Danny Phantom;#I did always like the show when i saw it. I can't remember if i ever finished all of Kim Possible either#I know i started once but i think ADHD deviated#maybe it'll be my next 'i don't have engagement energy' show#kids cartoons are really good for no energy#maybe I'll even watch more RECENT cartoons sometime (lol who am i kidding)#anyway Sam's a trans girl and I love her#and they manage to SOMEHOW make the Sam has a crush on Danny who has a crush on Paulina/Valerie not give me hives which is nice#(they did it by Sam not being any cattier than your average 14yo and not act like she's entitled to him and thus a girl fight)#Sam/Danny is a T4T narrative and I'll die on this hill#and Tucker is just happy to have a boyfriend AND a girlfriend after trying for so long and also his PDA is there#might still be a little manic#thought it wore off but no I'm just Big Seeby#I AM gonna take my tegretol tonight tho#I skipped it for 24hrs it's been fun but it's given me a headache (have found which med it is that makes me feel like dogshit when forgot)#.....I said am. I already did. I took my meds hours ago when i was gonna go to bed#(gf and I ended up having a talk but now it really is bedtime- I'm past the sleeby shakes)#(I'm starting to feel like that bitch in that one MAG ep and my brain is about to start buzzing again)
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thinking. about the potential of havinf to stop the med that is scientifically proven to reduce the risk of suicide in people who take it because theres a chance it's causinf a Bad side ecfect. except i can't take lamictal (doesn't work to stop mania, just depression), valproate was somewhat effective but for various reasons can:t take it again, and that leaves me with tegretol... but nothing is as effective as lithium for me. this is so unfair
#sorry. dissociation jorked typing#genuinely if this is the cse and it may not be im just anxious but If It Is#i have no good options left because i need an anti-manic med#and lamictal gave me a rash last time anyway#so i guess id have to try tegretol or long term antipsychotics and i dont want that for me#.txt
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John "Soap" MacTavish Headcannons
This man can SPRINT in heels I will die on this hill
If it wasn't for the military, he'd sleep until noon
Probably work a nightshift too
He needs coffee to function, if he doesn't have coffee he's a grouch
Takes his time waking up, not an early bird
He needs like five alarms to wake up
Bathroom first kind of person
Sometimes takes a shower in the morning, depends on if he didn't the night before
COFFEE and juice
Sweet tooth, a horrible sweet tooth
Chocolate chip pancakes are his go to, or whatever the canteen has tbh he's not that picky
He sleeps in whatever, or just his boxers does not care-
He does not dress up, he's in a uniform and looks presentable 9/10 out of ten. He's in a t-shirt and sweats when he's not deployed
Takes a shower every night, sometimes multiple times in the same night if he still feels grimey after the first one
He doesn't take baths often, but when he does it has bubbles and a rubber duckie. He likes the simple things in life guys
He likes simple scents, nothing complex
He hates 3-in-1
He likes Mint toothpaste
He eats when he can, but has pocket snacks
He loves home cooked meals
He likes smoothies, the purple ones (that he can never remember the name of) he gets from a smoothie shop are his favorites
He never makes meals for later, he's not that organized-
Rarely has leftovers
Get's fast food once in a blue moon
Doesn't eat out much, unless it's a special occasion
He does most of the chores, he has a specific way he does things
DESPISES dishes, hates the feeling of the food being squishy and soft under his fingers
IMMEDIATELY washes dishes after using them
Does have a "laundry chair" but it doesn't last long tbh
Makes his bed in the morning, military taught him well
Has a car, but that's about it
Owns a car, but it's this little puddle hopper and it's beat up- He could afford a better car, but he's deployed a lot so he probably won't buy one
He literally takes his car through the biggest puddles ever, just to see the water arch. He's easily amused
Hates boats, especially after Graves
He has an Android
Special ringtones for everyone he cares about
He has it silenced 9/10, he silences it for missions and forgets to unsilence it
He has candy-crush on his phone and I will stand firm on this
He has the basic lock and home screens
He has snapchat but uses it for the filters, also has facebook for market place and Tiktok for the car videos
He has a few followers on Tiktok
He can block someone easy
He posts his cooking fails online
He probably has angered the baking/cooking niche online A LOT, dude probably has callouts from five years ago because he doesn't care-
He sleeps whenever, but totally has sleeping meds for his PTSD
He can either be up all night or in seconds, depends on how tired he is tbh
He's a light sleeper
He talks in his sleep, but it's mostly mumbles
Has nightmares more often than not
Has a bit of light from his TV, finds it hard to sleep without it
Sleeps with every window and door locked
Has his bed in the corner of the wall, hard to be attacked from both sides
His handwritting is damn near impossible to understand, sometimes Price has a hard time deciphering it
He's an outdoorsy type
The first memory is of being with him mom at a fair
He likes bread, just bread ;-;
He listens to literally everything, except classical it puts him to sleep
Very Artsy
He has Bachlers degree
He loves cats, and has one at his moms
Struggles with gifts tbh
He went from the tallest in his family, to the one of the shortest on his team
He's huge on physical touch, especially with his partner
He said something that made Ghost stop in his tracks once, and then ever did again. It was so stupid it was smart
Soap is so fucking sociable it honestly annoys Ghost
He really wants to get married, but doesn't want to put the stress of him always being deployed on his spouse and he doesn't want to die on them
He's allergic to Buckwheat, Shellfish, Balsam of Peru, Tegretol, and Cosmetics
Whenever something traumatic happens he shrugs and goes: "Well that happened" and goes on with his life
He has a lot of scars, mostly from war itself most of them are on his upper arms but some are on his chest and forearms
He has a scar from getting a gash on his leg when playing when he was a kid, he needed A LOT of stitches
He has one that looks like a cresant moon on his right hand ring finger
He honestly doesn't mind when people trace his scars, it's kinda soothing
A little kid once asked about one on his chest, which he got when a bomb went on prematurely, and he said he got it from a T-Rex to entertain the kid.
That was also when he decided he wanted kids, when the kids eyes blew open wide and they bounced on their toes asking more questions. Which he provided absurd answers until the kids mom rushed over and apologized
The one on his chest was from a near-death experience, learned really quick how to run really really fast
He holds his partner close during cuddling, if their back is against his chest his face in buried in their neck. If he's laying on top of them, he has his head against their stomach and his arms protectively around their waist, or if his head is on his lap he just gently holds them and usually falls asleep
He's close with all of his family but is 1n00% a momma's boy
He stims by making faces, which is slightly weird if you don't know him wel
#soap#Soap#soap cod#soap mw2#john soap mactavish#soap mactavish#johnny soap mactavish#soap call of duty#soap mctavish#soap mw3#141#simon ghost riley#john soap mctavish#Soap headcanons#john mactavish#johnny mactavish#Johnny Mactavish headcanons
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Gonna talk about my year and how I think I'm in a more optimistic place compared to last December. Warning: mental health, mentions of self-harm but not elaborating how, mention of previous attempt but not mentioning how. ramblings of a person who wants this outta their head.
i'm bewildered by how I got to where I am now
Let me start off with the fact that September-December 2023 was a low point. Heavy anxiety, long manic episode, taking lots of overtime, being the best in my little department but my manager refusing to do a yearly review, and a relationship I didn't know how to end led to a severe anxiety attack.
I took a month off work to work with my psychiatrist on my medication. Within two hours of my first day back, my coworker triggered my C-PTSD. Unable to flee, can't fight, I do the only thing to control my emotions - self harm. Long story short, HR notices and sends me to the hospital. I'm sent back out of work and start a partial program.
I've done this before in 2011. I do my best at the program, stayed there for a month. We change up my medication. They help me find a therapist for when I finish the program. I had some hang ups with the program. Music therapy would make me want to harm myself. I told my case worker the truth and they told me I can leave those sessions when I want.
I hate positive affirmations. I won't use examples because they're valid to other people and I don't want to be negative to what might help others. To me they always felt hollow, insipid, childish. It never clicked, no matter at what age I tried it.
I've mentioned several times that I like philosophy. During the program, I brought with me Medications by Marcus Aurelius to read during lunch or the few minutes between sessions. Quotes on stoicism became my positive affirmations in sessions.
"The happiness of you life depends upon the quality of your thoughts."
"You have power over your mind - not outside events. Realise this, and you will find strength."
"Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth."
Anyways, I got better, or so I thought. The day I "graduated" as I drove home, my mom told me my dad finally died. That's a complicated situation, with complicated emotions. Anyways, I spiraled. Self-harm and isolation. By the end of the week, I was forced into inpatient.
Inpatient was immensely worthless, except for one bit. My whole ward was shut down because of fucking Covid. So you were stuck in your shared room with your roommate, no sessions, no walking around. Little stimulation. The longest 3 days of my life. I've done inpatient 2 times before, 2012 and 2017 (for suicide attempt then), so I know 72 hrs is the minimum and that as long as I'm not a risk I can leave. Thank fuck my mom was able to give me a philosophy book to read. And that I was able to get access to a pencil that I had to return at the end of the day, so I could draw (and not with crayons). I did start writing for Fate-Touched when I was in the ward.
Anyways, they helped figure out with blood tests that my Tegretol and Seroquel interact. Therefore my Seroquel has to be doubled. And they put me on Gabapentin for anxiety. I can safely say it's helping now a year later, besides upping the dosages about 3 times since. I occasionally see my therapist who's pagan. First therapist I've ever clicked with, one who believes my feelings are valid, one who doesn't think I'll change my mind about children in the future. I'd see her more often if I didn't have to pay out of pocket. But she's noticed my improvement.
a year later, I am single and happier
a year later, I work for myself. While I'm not crazy about that, it's proving to be healthier. (I didn't quit my job. they illegally fired me over my disability. Yes, I've suing)
a year later, I'm back to being creative. Similar to the levels back in 2013 and before. People are even buying my art?!
a year later, I have people I can call friends (I'm genuinely trying not to cry writing this- never mind, I'm crying)
a year later, I'm living more in the present.
it's not all perfect. I try not to think about the near distant future. I try not to think about the existential dread. But I'm trying. And it gets better.
“What we do now echoes in eternity.”
#sulphur rambles#tw self harm#tw mental health#I'm sorry if you actually read this whole thing for nothing#this is stupid#no worries guys#i'm just throwing this to the void to get this off my mind#might delete later
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so. vi and mental illness, it’s a big things for his character. his future and his past. let’s touch base on his meds and his recreational weed usage.
morning: 4mg liquid prozac, 500mg valporic acid, 200mg tegretol.
night: 250mg valporic acid, 200mg tegretol.
situational: 0.25mg xanax for panic attacks, 25mg seroquel for insomnia.
he is legit never gonna let anyone see him take his medication unless they live together or they’re someone that hangs out at his house a lot, because his pride forces him to feel shame. something like shame. he does take adderall when he can’t focus on his work but that’s not doctor permitted. that’s just bought from a dealer. he recreationally will light a blunt on the weekends and smoke in bed.
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I've been diagnosed with bipolar disorder and have been managing it with an antipsychotic only, but I think I may need a mood stabilizer as well. Wondering which ones I should look into more or avoid.
obviously it would be great if you could reblog to get a larger sample size but do what you want <3
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Marla Anne Cardamone, 18 (USA 1989)
Marla’s story is one of coercion and manipulation. She was a teenage mom bullied into an abortion she never wanted.
Marla found out she was pregnant after an assault. She was 18 years old and already had a toddler at home, so she planned to put the baby up for adoption.
But Marla was on Tegretol and Elavil for depression and there was a chance that the medicine she took could have caused a birth defect. A social worker at the hospital where Marla had her ultrasound started pressuring Marla to have an abortion that Marla didn’t want in the first place. The social worker insisted that Marla had damaged her baby because of medication she had taken. Statistics gave a 92% chance that the baby was fine, but Marla had a sonogram to be sure. After the sonogram, that social worker kept pressuring Marla to have an abortion in an act of ableist eugenics. Finally, Marla reluctantly gave in.
Marla was admitted to Magee Women’s Hospital for the abortion on August 15 in 1989 for the legal abortion she never wanted. Because of her medical history, the urea induction abortion method was contraindicated. Ignoring the risks to 18-year-old Marla’s health and safety, abortionist Michael W. Weinberger injected urea into Marla’s uterus.
The abortion caused generalized necrosis of Marla’s uterine wall, meaning that one of her organs was rotting inside of her. Weinberger also carelessly inserted laminaria sticks in a way that caused septicemia and massive cortical necrosis of the kidneys. Marla didn’t stand a chance.
That night, Marla displayed a variety of alarming symptoms including nausea, vomiting, urinary incontinence and dried blood on her teeth. Her pulse and temperature were severely elevated. By 6:30 AM charge nurse contacted a the first of several doctors to treat Marla, but nobody bothered to do lab cultures. Half an hour later, Marla was “increasingly disoriented and speaking inappropriately.” 15 minutes after that, she had incredibly low blood pressure (80/40), she was suffering from tachycardia (144 bpm), and she was “unresponsive, grunting loudly, and having seizures.” No intravenous antibiotics were administered until almost 3 hours later. Marla received her antibiotics at 10:00 AM, but she died from her massive infections and internal damage at 12:15 that day.
Marla’s mother had not been allowed to see her for most of her daughter’s last day alive. Neither of Marla’s parents were notified about her rapidly deteriorating condition. When Marla’s mother was finally let into the room where Marla died, she couldn’t believe what she saw.
“There was my beautiful daughter so horribly disfigured that she was almost unrecognizable. A tube was still protruding from her mouth and I could see that her teeth and gums were covered with blood. Her eyes were half opened and the whites of her eyes were a dark yellow. Her face was swollen and discolored a deep purple. The left side of her face looked like she had suffered a stroke. All I wanted was to hold her. I managed to get an arm around her and kissed her good-bye.”
A lawsuit was filed for Marla’s excruciating and completely unnecessary death. The abortion “hospital” had not consulted qualified doctors, overdosed Marla on Pitocin, did not remove the corpse of Marla’s baby from inside her body, performed an unwanted and psychiatrically contraindicated abortion using a method that was physically contraindicated in the patient and did not notify Marla’s parents quickly when their daughter was dying.
Marla’s mother stated:
“I had to file a lawsuit to get any answers. Marla had died of septicemia–a massive infection from the abortion. I also learned that the social worker had never seen Marla’s sonogram or discussed the results with her. Marla never saw the words on the sonogram report that would have changed everything: No abnormalities detected. My daughter was pressured to have an abortion, and there had been no reason for it, no reason at all.
I’ve often wondered why pro-choice women’s groups have never expressed any sympathy or concern over Marla’s death. Why aren’t they demanding justice? Why aren’t they concerned that Marla was lied to about the condition of her baby and wasn’t shown the sonogram results? Why aren’t they concerned that proper treatment was delayed because Marla was misdiagnosed by a resident who was only two months out of medical school? Why are they so quiet?
I believe it’s because pro-choice groups don’t want women to read or hear about abortion injuries and deaths. Bad publicity hurts their cause. That’s why they prefer that Marla and her baby remain hidden statistics.”
Marla and her mother
https://www.findagrave.com/memorial/97261244/marla-a-cardamone
Pittsburgh Post-Gazette January 14, 1997
Allegheny County Court of Common Pleas Case No. G.D. 91-14565
Marla’s autopsy photos (WARNING:GRAPHIC)
#tw abortion#pro life#unsafe yet legal#tw murder#tw ab*rtion#abortion#abortion debate#death from legal abortion#tw coercion#tw forced abortion#tw assault#victims of roe
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Has anybody else with epilepsy who is on medication felt like they've been given a dodgy prescription? I opened a new bottle the other day and since then I've felt like a seizure is coming.
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one thing that never comes up because he doesn't care to speak on it...cocktail of medication he takes as given by his doctor
morning: 4mg liquid prozac, 500mg valporic acid, 200mg tegretol.
night: 250mg valporic acid, 200mg tegretol.
situational: 0.25mg xanax for panic attacks, 25mg seroquel for insomnia.
he is legit never gonna let anyone see him take his medication unless they live together or they’re someone that hangs out at his house a lot, because it's just something he's intensely private about. he does take adderall when he can’t focus on his work but that’s not doctor permitted. that’s just bought from a dealer. he smokes a lot of weed and other shit like wild dagga to get his nerves chilled out, but for the most part its just for fun and relaxation. kind of.
it's not that he's embarrassed but like... it's none of your business lol.
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If you miss three or more days of Lamictal, you have to restart it at the low dose and titrate up. If the patient gets any sort of rash whatsoever, they should stop Lamictal and never receive it again. It can cause Steven Johnson syndrome. Lamictal (lamotrigine) and Seroquel (quetiapine) are both okay for treatment of bipolar disorder in pregnancy. Lamictal is not as safe for breast-feeding a seroquel is. Lamictal can decrease the effectiveness of oral contraceptive pills. Although Lamictal can decrease the effectiveness of oral contraceptive pills, the likelihood of getting pregnant by accident is low. You start with 25 mg QD for two weeks and then increase to 50 mg QD for two weeks and then increase to 100 mg x1 week, and then increase by 50 mg every week if needing higher doses. You can go up to 200 mg a day if necessary. If you need more than that, then you can divide the dose b.i.d. You should use the lowest dose with the best effect.
Depakote and lithium should not be used in women of childbearing age.
So I asked her about lithium for bipolar disorder as well. Before starting you can check some baseline labs. At least check calcium, TSH, creatinine; monitor these as well as the serum lithium level. The therapeutic lithium level range is between 0.5 and 0.8. If the patient is acutely manic, 1.2 is a therapeutic level. When the patient is manic, serum levels of lithium are lower. When the patient is not manic anymore, he can have toxicity from increased doses that you needed during the manic episode. So you need to increase carefully and decrease it after they’re out of the manic episode. Monitor the patient two times a week with labs until they’re stable.
You can use mood stabilizers that are antipsychotics or mood stabilizers that are not antipsychotics. The mood stabilizers for bipolar disorder that are non-antipsychotics and therefore have no risk of causing tardive dyskinesia include lithium, Lamictal, Depakote, Trileptal, Tegretol. Lamictal is a moderate mood stabilizer and is not strong enough for patients with bipolar 1, who you have episodes of mania. It may be better for patients with bipolar 2, who have hypomania or not really any real manic episodes. Lamictal works for irritability as well in patients with borderline personality disorder. The antipsychotics that can be used as mood stabilizers include olanzapine, seroquel, Abilify, Latuda, vraylar, caplyta. The antipsychotics cause tardive dyskinesia because they occupy the D2 receptors. She doesn’t use Latuda as monotherapy. Vraylar has no sexual side effects. She said to stick with the lower dose, which is 1.5 mg, unless the patient is really manic. It takes 2 to 3 weeks for Vraylar to work. You can stay at the 1.5 mg dose for four weeks and then see the patient again and evaluate whether or not you want to increase the dose. Caplyta is sedating and you should tell patients to take it two hours before bedtime. Don’t start at the 42 mg dose. Use the 10.5 mg dose for elderly patients or the 21 mg dose for younger patients.
Ingrezza can treat tardive dyskinesia (send to Genoa pharmacy). Austedo is an older med for TD. Amantadine can also help.
Elderly patients should not receive benzodiazepines. You can use melatonin or trazodone for sleep problems in elderly patients. If they come to you and they are on benzos, she said you can slowly convert them to Valium (but Valium is a benzo so I’m confused by that🤷🏽♀️). There’s something called the UK benzo taper which is done over eight weeks.
Medication for schizophrenia include olanzapine and vraylar. Thorazine increases the risk of QT prolongation. Vraylar and caplyta do not increase weight gain. Injectable meds are also effective and are good for patients with poor compliance. If someone is of Asian descent you do gene screening before starting Lamictal. You can use Wellbutrin to treat ADHD but it’s not as effective. For children you can give them strattera, qelbree, or guanfacine, which are not stimulants. There are two classes of stimulants that can be used for ADHD which are the amphetamines and the methylphenidates. Some people have better success with one drug class or the other. So if they don’t do well on the amphetamines you can try the methylphenidates.
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I will not start a project with denim when I've been awake for 19 hours. I will not start a project with denim with I've been awake for 19 hours. I will not start a project with denim when I've been awake for 19 hours. I will not-
#repetitive text;#manic posting;#i remembered in hs when i'd spend my manic nights writing somg lyrics in sharpie on my arms and legs and jeans#and then had the idea to stitch/embroider lyrics into said jeans bc i was PRETTY sure i still had them bc they were ny favorite and#idr them wearing out. but APPARENTLY not. i looked everywhere short of digging out the closet i've wanted to for a month#but that's got years worth of chewy boxes broken down amd stacked in front of it bc i am a disaster#(i mean to recycle them. that never happened. at this point i'll just put them in thw dumpster. when i get around to getting them out of#the corner and down the stairs#i took my meds at least (not the tegretol. i don't want to intentionally kill my first proper manic episode in /so/ long)#BUT i was then thinking about canabilizing old jeans to create the cut i loved about the old ones (but half what i loved was texture)#and then embroidering that#but my last manic project with denim left my fingers so fuckin bloody#bc manic me can and will not use a sewing machine and thimbles get in my way#and that was. back in 2013-2015. wish i still had that. never wore it bc course not.#i also don't have the manic project of the L (death note) inspired Lolita skirt#think theu both stayed in NC#man i left all the good shit in NC#but yeah like. to say nothing of the fact that ostensibly the roommate will be home and wanting to sleep at some point#and manic me and headphones are fucking rivals#manic me has a lot of beefs#it's almost like (and this might shock you) i'm manic!#(i promise i'm trying to go to bed at this point)#(it's bed or cleaning my room or denim project and i would like SOME sleep if i'm gonna do either)#(to say nothing of i need to do 3 expert roulettes in XIV and can you imagine that shit after literally not sleep?)#(mania will NOT save my ass from micronapping)#personal;#i'm so sorry for anyone actually reading all these posts and tags#but! if you are! welcome to my oversharing corner <3#also i am still planning on helping a friend clean and assmeble a chair tomorrow#which! mania is good for! i can clean! i love cleaning when manic! (my OCD ramps up when manic)
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getting nostalgic for my tegretol days
#was gonna append something to this post like 'i need to be put inside a tiltawhirl and shaken until my bones come out'#but i figure u guys get it by now
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If it's linked to my thymos that i feel completely empty and neutral and calcualting for the past 3 days (which i suppose is the case, since i'm dual-wielding tegretol which kinda worked and lithium now), to be honest for now i consider it to be a good thing, compared to the constant storm that happened before.
Though i know it won't be positively felt in the long run, for now it's a decent reprieve.
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