How long has it been since you have slept? I have a three day rule. Three days with no sleep and I call. If I go any longer I know bad things will follow.

idk sweetie I wouldnt take it if your not advised to. Try to hang in there my thoughts are with you

Do not take the Trazadone,if it's not on your current med cocktail...that will just mix things up too much.

Call a 24 hour Pharmacy,and find out if Benadryl is safe to take with your meds...Benadryl is used in Phyc hospitals to calm,and sleep for patients.

Belinda is right about the 3 day rule..if you have gone 3 days w no sleep..talk to your Pdoc

Past 2 nights have sucked. I've taken 2 1mg klonopin and my 225mg lamictal, along with flexeril for my back spasms over the past 4-5 hours. And here I sit here wide awake. Ugh!

My pdoc rule is to always try and call during daylight hours. If this is nite #1 without sleep, can you just keep yourself together enough till morning?

I don't think we have a 24 hour pharm around here but I will check the phone book. Thanks. Have been having hard time lately with depression. Just sucks.

HTP from the health section helps me sleep, for an hour or two. some people have mentioned melentonin too, thats in the same section...so maybe something like that that won't hurt you.

I've never heard of HTP. I'll have to check that out. I have found a combo of Meltanonin, Valerian, and Benadryl works better than Ambien to keep me asleep. Sometimes I need the Ambien also for the initial kick.

If you are having trouble sleeping, you can always call during the day and leave him a message, and he can call something in for you.

As for calling him off hours, I have kinda increased my resistance on that one. In the beginning, I might have called for stuff that I would never call about now, because I have learned coping skills and know what to expect from my disease over time. If you aren't there yet, then don't beat yourself up over calling him.

Always call 911 if you are going to suicide, or are thinking about suiciding.

If you start hallucinating, call your doc off hours.

If you cannot bring yourself out of a panic attack, call doc off hours.

Really, you have to do a gut check on it. If you can wait until the day to call, then you probably should wait. If you feel so panicky or anxious that you feel like you can't wait till morning, then call.

Here's what I do with my doc, but after years of experience:

1. I have something to take if I can't sleep (trazadone) which I rarely use.

2. I have Xanax for any anxiety that I cannot control with meditation (which I rarely take).

3. I have risperdal if I get hypomanic, which I take on an as needed basis.

But it has taken me twenty years to get to a point where I know when I am hypo, know when I need to take X, Y or Z.

So, if you can talk to your doc about preparing you for your typical symptoms, like not sleeping, or anxiety or whatever, and also get some therapy and learn some coping skills, I think that you will feel more at ease about treating your disease.