Friday, May 8, 2015

Latuda Roller Coaster

It's been a bit of an interesting week. When my son's case worker stopped by on Monday to drop off his medications for the week and check in, I told her that what I have been seeing is different. I didn't know how to explain different... Just that I wasn't sure that I liked what I was seeing. The Latuda seemed to be helping however in some ways it wasn't.

He went from Friday to Tuesday barely eating. Even though he was going to bed he wasn't sleeping good and he wasn't napping during the day either.

Monday evening he randomly hugged me... Good sign right?

Tuesday he asked for the internet back. I asked him if he remembered the things that he had said to me and he replied that he remembered all of it. I asked if he still felt justified in saying what he did. Yes err no... He was upset. Ok I can understand that. I let him know that threatening me was illegal and reminded him that he had threatened to hurt me. He told me that he would never hurt me. Didn't I know that? That's the crutch isn't it? My son, Michael, would never hurt me. Psychosis and alcohol on the other hand is a different story. I gave him back the internet, not that he has used it, and told him that we really need to work on his anger issues.

We talked about his tobacco use. He told me that I had agreed that if he bought one tube of tobacco that I would buy him two. Ok we need to get to the bottom of where these misconceptions are coming from. When did I say that? I didn't but another time I told him that if he bought one carton of cigarettes then I would buy him two cartons. Yes I did do this once because he had spent his money on furniture for his room. Grrr... It does get irritating that whenever I do something nice that it gets turned into something like this. So I made it clear that I would get him some tobacco like I said I would but not two tubes and next month I don't plan on helping with this again.

I talked to his worker at disability and let her know that they are still deducting $40 from his payments due to the supposed over payment of him collecting disability from two provinces at once. This should be fixed for next payment so that they are only deducting $10. The drug cards finally got faxed over to the pharmacy that is supplying his medications and starting next month they should be mailing them to me.

I also tried to address the alcohol... It's not helping him. It's depressing him and triggering anger. He is not a happy drunk when he drinks now. It's seriously impairing him and his functionality. Off he went to the liquor store anyways...

I know he thinks I'm being hard on him however I can't continue to support his drinking and we are not spending more money on his tobacco then we do our own. We shouldn't have to. Hubby has been talking about quitting again. Maybe we should. It's harder to tell my son no when we are smoking.

Wednesday morning he started drinking at 9 AM. I didn't say anything... thought I guess I should be happy that he didn't drink it all the day before. Sad isn't it when that is what I'm left with... Back to the different that I noted at the beginning of this post. I haven't had much experience in seeing my son actively hallucinate. Things don't usually get that far here. I asked my son if he was hallucinating and he said no. Now my bad here because really I'm asking someone who is seeing what they see as being just as real as everything I see and expecting him to know the different ;) I notice by Wednesday afternoon that he was acting odd even for him. It was like he was pushing stuff away from him and it almost looked like bouncing a ball or something... Things I couldn't see.

Yesterday was a bit of a roller coaster for him. Early afternoon he was making noises that I couldn't at first tell if it was crying or laughing. However the look on his face was one of pain. At the same time he was having issues with his privates. I'm guessing tactile hallucinations. Several times I asked him if he was ok and if he was crying. He said no however at one point he told me to leave him alone and stop looking at him while he was crying. He didn't want me touching him and he couldn't tell me why he was crying just that he was. I asked if it was ok if I called PACT and talked to his nurse about the Latuda that his dose is too high. He said yes.

I called and of course his nurse wasn't in, his case worker wasn't available and the other nurses were all in a meeting but I could leave a message. I did. They haven't called me back yet.

The off and on crying and issues with his privates continued for about an hour. I was on the verge of putting us in a cab and going to emergency. I asked him if he was having thoughts of hurting himself and he said that he wasn't. I asked that if he did that he let me know right away. Finally it stopped and he said that he was feeling better. I was coloring and he joined me. Then it started again however not as bad as before and was shorter. Then he was very happy. I think perhaps a bit manic based on the continual smile. I could see that he was hallucinating again. That had me concerned for a bit as he was doing air punches or interacting with his hallucinations, I'm not sure, but too close to me so I asked him not to do that around me. Thankfully this didn't last long.

Since PACT didn't call me back, I looked it up and his Latuda pills can be cut in half. Latuda is supposed to be taken with food. Not snacks but an actual meal. Given that he hasn't been eating that has been a tough one and he wanted to take it at night with his Invega. I think between the too high dose and not taking it with food that it has been hitting him too hard. Latuda can cause mania as far as I know. I know it's not supposed to be sedating which means it can be activating. Since he has been taking it before bed I think it's been interfering with his sleep as Wednesday night he did take two Melatonin and still didn't sleep good.

So I have cut his dose from 80 mg to 40 mg and gave it to him with dinner last night. The up side to the mini manic phase seems to be that he ate dinner fairly good. He didn't eat all of it but he did eat his chicken and salad so an ok base for the Latuda.

He still hasn't showered however he has been in the bath the last two nights. While it may sound like a good thing... When he is experiencing symptoms or tactile hallucinations he seems to like the sensation of being in the tube so it's not really a good sign when he wants to have a bath every day. Last night I went into the bathroom and took out his dirty socks, underwear and shirt and put out clean ones so that he had no choice but to but on clean ones.

Around 9:30 last night I went into his room and had him take his Invega and two Melatonin. He slept although not as deep as I would like. He got up today at 8:30 AM. Not bad actually as he has been getting up with me and hubby around 5 for the past week. I had debating not giving him any Latuda last night however if I did that I ran the risk of him not taking it again as he has done this with several medications in the past. Just because 80 mg is too much I don't want to not give this medication a chance. He needs the antipsychotic right now.

I called PACT and left another message letting them know I cut the dose. Hopefully today I will see a reduction in what I was seeing yesterday. Probably not though as he appeared to be hallucinating a little while ago and is now off to the liquor store again...


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