So yesterday I had a blood test so my doctor can take a look and see how much sodium is doing after 7 weeks on low carb and a lot of sodium intaking. They called me an hour ago. My sodium, after no fasting, is 126. Normal is 136 and over.
For those just tuning in, I've been dealing with chronic low sodium for a while now, years actually, but it all came to a head when I ended up in the ER because of it and because of an "altered mental state" about a year and a half ago. Since then we've tried lowering my liquid intake and upping my sodium intake and it's not working.
This probably explains why I felt so horrible Thursday while I was getting my hair done, almost passed out and had to keep putting my head between my knees to the point where the hairstyle ladies were asking if I needed an ambulance which I declined. Since all I had that morning was a protein bar... well, it all makes sense now.
In any case my doctor has a new plan which is to cut one of my antipsychotic med dosages in half. He's tracked down that this med can cause low sodium so it's on the chopping block. I have to cut it as of tonight. And since my doctor is not a psychiatrist he wanted me to make an appointment with my psych ASAP (have one for Tuesday morning) and my therapist ASAP (waiting for her to call me back).
So far, so good right? Sounds doable? Here's where my fears come in. It took years and years to find a cocktail of meds and dosages that keep me stable (Bipolar 2 Rapid Cycling and Anxiety) and I've been on this cocktail for quiet a few years with just a few tweaks here and there. But this isn't really a tweak, this is one med dose cut in half and I'm not sure what will happen.
I'm not sure what the withdrawal will be like on this one (I know how the others are but this med has been pretty regular for me). I don't know if I'll go into a depression or into a hypo-mania or go back and forth (when I say "rapid-cycling I seriously mean rapid as in up to several times a day). I'm not sure what to expect and that scares me a little.
I've given the boys and Charles a heads up and I think I have a good plan built up around me but I can't help but worry. I guess we'll see what happens.
Oh, and next time I feel sick enough that I can't stay upright and think I'm going to pass out I am supposed to go to the free clinic or the ER. Same goes for any other mental state issues. Which, you know, should go without saying.
I'll keep you all updated!