“So, I’d like to try lurasidone,” I say as I settle onto Dr Stein’s sofa, tucking my feet up under my bottom, feeling nervous. “A couple of my friends are on it and they think it’s a good mood stabiliser and…”
“OK,” he says, swivelling his chair round to the desk, scribbling in my notes. “I think that’s a good idea actually as…”
“Really?” I say, surprised. “But last time you said you didn’t want me to take it and…”
“Well, now I’ve read up on it a lot more and I’ve got a couple of other bipolar patients on it,” he says. “So I’ve changed my mind. The carbamazepine isn’t working.”
“Wow, that’s brilliant,” I say. “I’m so happy.”
He laughs and his blue eyes twinkle. “Well, I’m glad I’ve brightened your day. So, I’ll have to check what we do about all your other drugs: remind me what else you’re on?”
“Carbamazepine – six hundred milligrams per day, obviously,” I say. “Duloxetine: thirty milligrams a day at the moment. And those ones I don’t like for the cancer: Letrazole – two point five or something milligrams a day. And the Zolodex injection – think that’s eleven or so milligrams slow release over three months, not sure.”
He looks at the list. “I’m going to have to check all those out, and it’s an expensive drug, the lurasidone. And because I’m prescribing it to you off licence I have to make sure that…”
“What does that mean exactly, off licence?” I say.
“It means it’s not licensed for bipolar disorder in the UK,” he says. “Although it is licensed here for schizophrenia. So if I’m using my discretion to prescribe it for you for your illness, I have to make sure that it’s not harmful to combine it with everything else you’re on. Oh and you’ll need an ECG and…”
“OK,” I say. “Does it hurt?”
“No,” he says. “That’s the procedure where they measure your heart rate by sticking pads on your chest. The drug can cause a mild arrhythmia and…”
“Oh, OK,” I say.
“It’s a tiny risk,” he says. “We just have to be careful.”
“Just really want to go on the drug and for it to be working before my mood is scheduled to drop in April or May so…”
“I know,” he says. “I’ll check everything out and call you as soon as I can.”
So this is good news. Am starting a new mood stabiliser. Am excited.
Also on the plus side:
1. Have won a restaurant meal for two people in a competition. Just need to decide which lucky person accompanies me.
2. We found my missing notebook in the car.
3. We have artichokes for supper.
4. This cyclamen:
6. My fluffy monster is here and can cuddle him.
Skin is peeling off all over chest and under arm but mustn’t grumble.
The attached photo is today’s Spin outfit. Trousers by Onzie.
Happy Wednesday everyone!
*1955. By Jonathan Latimer. Newspaperman Sam Clay wakes up with a hangover and a beautiful naked girl in his bed.