Going To Try Chem Free Living

Forgive me blogosphere for it has been thirty two days since my last entry. It has been an amazing month, and with the notable exception of my employment circumstances things are looking up around here. The truth is my urge to write peters out when I am feeling good. When I have no real angst I have no inspiration.

A regular theme throughout the life of this blog has been my experience with the medications used to treat depression and anxiety. Anybody who has done much reading here knows I hate these drugs with some passion, but have also relied on them to get through the last twelve or thirteen years of my life. In that time I have never been completely drug free. For over a decade I have gone through each and every day of my life under the influence of at least one and most often two or more drugs designed to effect my mood. I hardly remember what it feels like to function without these pills.

Over the winter I went through the long ordeal of withdrawing from over ten years of daily Klonopin use. The last pill was taken December 30th and it was probably the third week in February before I began to feel in anyway normal again. At the end of February I had an appointment with the shrink and I asked about the possibility of getting off the Buspar and Wellbutrin. He told me I could drop the Buspar anytime and drop my Wellbutrin dose by a third from 450mg daily to 300mg if I felt up to it. I had been taking the Buspar twice a day prior to this appointment, but beginning to next day I only took it at night. After a week of the “only at night” dosage I quit altogether. Other than a mild hiccup in my sleep, which was probably all in my head, I didn’t even notice the drug was missing.

I was feeling very encouraged by the successful drop of Buspar. For many years I had used the Klonopin as my crutch. I never forgot the way the panic and anxiety felt, and I was fearful of returning to those days. During the withdrawal I was reminded of why I was scared as the experience was highlighted by two months of increased anxiety with several days spread out over the period that were nearly intolerable. With the Buspar gone I was living clear of any drug whose sole purpose was to control my anxiety, and I was functioning fine. For some time now I have been nagged by a vague awareness that the Wellbutrin isn’t really doing anything for me. With the Buspar gone it was time for the next hurdle so I cut the Wellbutrin dose as I had been directed. It has been about three weeks since I dropped the dose. I don’t remember the exact date/day, which I honestly consider a good sigh unto itself, if I can’t remember exactly when than I must not have been obsessing over it too badly. I am feeling very good, better than I remember feeling in a very very long time. Truthfully I feel better than I ever remember feeling. I left a message with the shrink this afternoon asking how to make the next drop. I am scheduled to see him May 2nd and I would like to have made the next drop a few weeks before then so if things do start to get weird I will have the checkup already on the calendar.

My wife and I committed to another change a couple months ago as well. Somewhere on this blog I once listed my weight at 250 pounds. I was lying. You know you are self conscious when you put the things in print I have put on this blog, and you can’t tell the truth about your weight. My weight maxed out at 266.6 pounds on my 5’11” frame. I remember the weight because the last three numbers struck me. I am not a terribly religious person, but I knew I was too heavy and the 666 stuck in my head as a bad sign. I had settled to 263ish when my wife decided she needed to drop some weight. I watched her get started and she was doing well. She bemoaned my cooking constantly as she struggled to lose, but lose she did. A couple weeks after she started I followed. I didn’t make a lot of noise about, and didn’t even tell her. My motivation was twofold. First my son is 2 ½. If I am going to be able to play and participate in his life I better get some of this weight off. The second is probably the greatest motivator for all men. Sex. My wife and I have always had mismatched sex drives, and one of the effects of dropping the Klonopin was a sharp increase in my drive which was already way ahead of hers. I had heard complaints from her that my weight made sex uncomfortable, but for some reason it took the light bulb a while to go off in my head. I finally decided if I wanted more sex I needed to take responsibility for making myself more appealing, and the act for comfortable for her. By the time I last posted a month ago I was down to the 250 number I had claimed to be. I wanted to brag, but how do you brag about being at the weight you told people you were already at? This morning marked two consecutive days at 238 pounds making my total weight loss from the start weight 25 pounds, and from my max weight almost thirty pounds. My pants used to fall down my ass like they do on all fat guys. They are still falling down my ass, but now it is because they don’t fit.

Weight loss is a real chore for me. I don’t want to get into all the details here so maybe I will put together another entry talking about that, but I can say the work is paying off. When I hit 245 my wife commented that the sex was better, and she was right. She has dropped about 17 pounds and the combination has made for a noticeable improvement. With the Buspar gone and Weight and Wellbutrin lower the biggest change I can see other than my general mood is my sex drive is off the charts. The mismatched desire has always been a problem in our marriage, but recently she has made more effort to participate and I tried to do some little things to keep her interested.  We talked about it last weekend and I told her that in a perfect world I would be looking for sex four times a week. She was a little taken aback by this. Last year we averaged every 10 -14 days with several instances where we approached 30 days between sexual encounters. This year has been once every 7 -10 days, and lately I am noticing we are pretty steady on a once on the weekend pace with the occasional extra thrown in. This is an amazing improvement over where we have been, but I think she was shocked to discover that I am only getting about 25% of the sex I actually want. Will this foster more understanding of where I am coming from? The drug free me is finding the urge stronger than ever so I certainly hope so. I am hopeful that this rapid change in my desire wont cause us any problems.

The past month has seen many more changes as well that I simply don’t have time for here, but maybe they will give me an excuse to write here a little more often. As a parting word I would ask for forgiveness for any typos you may find in this entry. I really want to get something posted, and I am rapidly running out of time so my editing will be quick and sloppy.

The New Treatment Plan

I wanted to make a quick post here to update folks on my status with the Coast Guard and my medications. I saw my shrink Wednesday afternoon, and while I got little in the way of a sympathetic ear, we developed a plan.

Yesterday morning I began the process of weaning of the Klonopin. It is going to take four weeks to be rid of it entirely. In its place I am starting Buspar at a relatively low dose that we can increase as I come off the Klonopin if we need to. I see him again in two weeks so we can evaluate progress. This should all be great fun as we go through the holidays.

I was on Buspar once before. In my earlier post on medications I noted that in the beginning the doctors tried a bunch of different stuff. I couldn’t remember all their names at the time, but when he suggested it on Wednesday I remembered that this was one of them. I only recall that it was not effective. At that time I was in a lot worse shape than I am these days. It is my hope that being in a better place will allow the Buspar the chance to hold the status quo. I know it’s not strong enough to bring me back, but maybe it can keep me from falling in the first place. If nothing else I hope it provides a cushion for the removal of the Klonopin.

My Doctor needs to speak with the Coast Guard himself and advise them of the new treatment plan. He didn’t seem to think the Buspar would be a problem for them.  The letter I received from the Coast Guard indicated that I need to be clear of the drug and symptom free for four to six weeks before my credentials can be reissued. So if this all works out I should have my credentials in three months or so.

I could rant for pages on why taking a situation that has been reasonably stable for ten years and turning it on its ear does nothing to make me more “compatible with maritime safety”, or compare the supposed dangers of the drug to things that happen every day out there, but it won’t change the reality of the situation today. I will save those examples for the letter I am putting together for my congressional delegation.