Thursday, 31 March 2011

Despite feeling so much better earlier, trying to go to sleep leaves me feeling worse again.

Like last night, I'm feeling shakey, panicky, breathless, headachey, paranoid and the pain is increasing.

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Speechless

I can't begin to tell you how much lighter the world feels right now than it's felt for weeks. Not only in colour, but in weight and density too.

It's like I've come up from the depths, and all that crushing pressure has eased. Even the thought of the pain seems bearable all of a sudden. I just hope it stays this way.

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Lofepramine

It's supposed to take weeks for Lofepramine to start working, so how come my mood feels so much better tonight?

I always found I noticed a change in the dose of Fluoxetine quite quickly, but this is even faster. Is it just placebo effect, or is it actually helping?

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Still feeling fairly OK. Have got some pain, but am feeling drugged enough not to be that bothered by it. I'm headachey and my stomach's very crampy. I'm quite dizzy and feel pretty out of it. I'm very tired (unsurprisingly, since I got no sleep last night), but all in all, not too bad.

Oh, and I actually feel quite cheerful.

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Brief respite

Right now:
pain is OK
side effects are bearable
I don't feel like crying
just had a lovely tea that a friend put in the freezer for me.

It might only last a few minutes, but a break is a break.

An hour and a half later and I still feel OK!

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Morphine and food

It appears the non-absorption of the morphine is down not only to what the pain consultant calls an 'undercoat' of paracetemol, but to consistent blood sugar levels.

I took a quick release pill today at 11.45am and it had no effect on pain or SEs. To see if it made a difference, I had some lunch at 12.15 and by 1pm, the morphine was working. It has to be because of the food - the morphine never kicks in that way that late.

So now I need to work out whether it's better to eat before or after the pill, and what the time limits are, or whether it makes no difference.

Addendum: Apparently, morphine slows the release of glucose into the blood. Presumably, then, if I eat, then take the morphine straight after (as I've done in the past), my body won't get the glucose from the meal quickly enough, so my blood sugar won't go up. And that will mean I won't get the best benefit from the morphine.

Therefore, the best thing will be not to take them close together. I think if I do it like I did today, the morphine is in my system and then increasing my blood sugar gives it a power boost.

To see if it also works the other way, this evening I had my tea an hour before taking a quick release pill. It's difficult to tell if it's worked though, because the slow release one is at work.

Even if I can't find out, it doesn't necessarily matter because it's much more doable taking a pill and waiting an hour to eat, then eating then waiting for a pill, given that often I can't get to the kitchen without having taken a pill.

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Horrible, horrible night.

Got no sleep, I was dizzy and panicky the whole time, felt sick, itchy, upset stomach, paranoid and just generally really ill.

I hope it was just an initial reaction, otherwise it's going to be no better than the Fluoxetine.

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