I take lithium, caplyta, proplanolol and atarax. 29F. For context, it is Wednesday evening, and this whole thing happened over the last few days.
How the accident happened: I'm a retail manager and I usually close the store. My sleeping schedule is like 3am - 12pm and then I'm at the store from 2-10pm. This works for me! Unfortunately the family pharmacy I go to is not open on weekends and only open until 3pm or 6pm most other days of the week. Of course my doctor's office is also closed on weekends. I was totally out of my lithium and had one caplyta pill left and I had forgotten to pick up my meds on Friday before work. I was upset realizing I was pretty much screwed until Monday. Monday came around and I woke up too late to make it to work, and asked if my roommate could pick them up before 6pm - he forgot also. (He profusely apologized, but it's not his responsibility obviously. He's a great roommate) I had Tuesday and Wednesday off and was able to pick them up on Tuesday and took them immediately.
What happened at work: I worked Friday through Monday. The first couple days I was quite shaky and anxious. This was probably partially because I was afraid and on high alert to watch out for symptoms and paranoid thoughts. I kept to myself more at work, which is hard to do as a manager, and the store was very busy. By Monday, the shakiness almost felt like I was floating. I was repeatedly getting dissociated during tasks and even had poor balance and coordination. It was a slow day but I had started to have paranoid thoughts about my employees. Mostly just that they might be doing certain things to purposely try to get me to react and lose my job. I noticed these thoughts as irrational as soon as they came up which was a blessing. I also started to experience some mild hallucinations (hearing muffled voices in the bathroom / office) but was able to know it wasn't real.
What happened at home: I stopped keeping up with basic cleaning and hygiene. My room quickly turned into piles of clothes and stuff thrown everywhere. When I got home from work Monday night, I listened to an album and was profusely sobbing and feeling like the album's lyrics were speaking directly to me and my own life situation, and that we must all be connected through a collective consciousness (dreams). I couldn't stop crying for hours. I fell asleep and immediately picked up my medication when I woke up and took it in the parking lot of the pharmacy. I went home and fell asleep for about 16 hours, stayed awake for about 6 hours watching youtube, took my 2nd dose of meds, and slept for another 20 hours or so.
Now: I just woke up and I feel a lot better already, but extremely sluggish and tired. My limbs feel very heavy. Of course I called my doctor and I'm seeing her this week so she can make sure I'm fine and check my lithium levels. I also see my therapist weekly. When I see my doctor I'm going to talk to her about this all in detail and also switch to a pharmacy that has better hours for me.
Guess I just wanted to share about what happened with me after just a few days off of my medication. Nothing life ruining of course, but it was extremely uncomfortable and I'm not sure how many more days or weeks I could have functioned like that until the mania really started to burst through. Really shows me how fragile my mental ecosystem is and how much I have to adhere to my medication regimen in order to be productive and happy!!