I still am liking loxapine. But I had the dose increased and I am so nauseous for several hours every night. It keeps me awake although I'm still asleep much earlier than before I started it.
When I was initially on it the nausea passed after a few days so hopefully tonight will be better than last night. I am not about to give up on this because it is working. But it really is hard to take it knowing that I'll feel bad afteward. I take it with food and last night tried taking it with MORE food but that didn't help. I'm only on 20 mgs which is a tiny dose. But it will work out.
I also finally figured out, I think, why I was so much worse this episode with psychosis. I've never had a bad episode since diagnosis without lithium. Last year after I was toxic and had to stop it I had an episode that responded quickly to a Seroquel increase and then I had a long time I was grieving/just sad about my brother but I hadn't had a bad episode that didn't respond to immediate med changes in a while. This was the biggest difference in anything that I'm aware of so I'm pretty sure that it is connected. Lithium always was good at helping me, I just had too many toxicities. I guess it did even more than we knew. I'm anxious to talk to my drs about this.
But that is over at least. No psychosis for almost 2 weeks now and that is a blessing I hadn't truly understood before. Before now psychosis has been intermittent and inconsistent and this time it was everything but those things. Loxapine seems to have squelched it though even with my tiny dose. So hopefully 2 antipsychotics makes up for no lithium although I suppose I won't know this until I have another episode. The depressed phase of this one has hit so probably another couple of months before I'm over it fully.
I'm still not back to life as usual, mainly because of nausea and sleeping off the new dose of medication. But it will get there eventually and I'm glad for that.