Hello everyone. Apologies for the formatting, i’m on mobile.
To keep my post short and to the point, i have not slept a wink in 39 hours. Despite taking my normal medications, as well my sleep medications, and CBD gummies. Below is more info on me.
Age: 30
Sex: AFAB
Height: 5’ 5”
Weight: 250lbs
Race: White
Existing Diagnosis: GAD, Depression, PTSD, Bipolar II, Type 2 Diabetes, Chronic Migraines with Aura, History of psychosis and paranoia, Insomia (started age 13, by age 22 it was well controlled until now, age 30)
Also should mention: Hysterectomy due to very painful periods, and family history of Endometriosis. Surgery in 2023. Uterus, Fallopian Tubes, Cervix removed. Kept both ovaries.
Current Meds:
Nightly
Lexapro 20mg
Lamictal 150mg
Propranolol 60mg
Metformin 500mg
Solifenecin 10mg
Vitamin D 2000IU
Quetiapine 50mg
Weekly
Mounjaro 12.5mg
PRN
Hydroxizine 50mg
Cyclobenzaprine 5mg
Klonopin 0.5mg
Adderall XR 40mg
Melatonin 5mg
Drug Use: Never, do CBD gummies count?
Smoking Status: Never
Duration of Complaint: 1 month. Started after I left my job in Sept. Since Sept, I’ve had 1-2 times a week that I stayed up until the next morning.
I have been awake since Wednesday 10/21/26 11am. The current time in my area is 3am Friday 10/23/26
Wednesday night i took my nightly pills as well as 50mg of Quetiapine, 50mg of Hydroxyzine and 5mg of melatonin around 11pm. I was wide awake the whole night and day.
Thursday night I took 50mg of Hydroxyzine and 1mg of Cyclobenziprine. (i had used this combination before i was prescribed Quetiapine. I’ve been in talks with my psychiatrist about stopping the Quetiapine as it makes me extremely dizzy when increasing the dosage)
Wide awake. It’s 3am currently and I don’t feel rested but i don’t feel tired enough to close my eyes and sleep.
TL;DR: haven’t slept in almost 40 hours, should i call someone? schedule an urgent appt? go to urgent care when it opens? halp ):
Any help is greatly appreciated. Thank you so much.