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Suggest Treatment For Large Blister Like Bumps On The Legs

Posted on Wed, 9 Nov 2016

Question: I am presently on 100 mg of geodon (capsules) - I still am having difficulty sleeping; I've developed large blister-like bumps on my left leg then a few on my right and now have noticed a small clu1ster on my inner thigh. Together with bipolar 1, I've also have edema, lyphedema and have had cellulitis. My IM doctor is treating this with a antibiotic together with cortisone tablet. This is the middle of the night and I'm at my wits end because this is the 3rd night in a row of no sleep. I rest a lot during the day but do not sleep. I don't want to have another complete mental breakdown. What now?

Answered by Dr. Kathy Robinson (3 hours later)

Brief Answer:
some suggestions

Detailed Answer:
Hello and thank you for your question.
Sleep can be a very difficult problem to solve. Here are some suggestions:
Talk to your psychiatrist and see if they can change your geodon to something that is more sedating. They may also consider increasing the dose of trazodone.
Try adding benadryl (diphenhydramine) 25-50mg at bedtime.
Ask your IM doctor for a prescription sleep aid.
Ask your IM doctor to make sure that your thyroid function is normal, hyperthyroidism can interfere with your sleep.
Ask your IM doctor to test you for sleep apnea.
Get rid of all caffeine, nicotine and alcohol.
Walk at least 30 minutes a day, but not before bedtime.
Do not use any electronics within 3 hours of bedtime.
If you cannot sleep, get up and do something for a while until you feel sleepy.
Cut down on carbohydrates in your diet (sugars and starches)
do not eat within 3 hours of going to bed.
I hope that some of this is helpful to you.
Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (6 hours later)

Thank you for your timely advise. My IM doctor has kept up with my thyroid levels and they seem to be at a normal level. I do have sleep apenea and have the oxygen to sleep at night as well as a mouth piece. I will take your advise as for my diet and not eating before I go to bed. I usually have a bowl of cereal before I go to sleep - will not do that any more. I do walk every day. I spoke to the on call psychiatrist and he prescribed Halcion for sleep for the next 2 nights at which time I will see MY own psychiatrist who will hopefully have an answer and help for my delema. Thank you again.
XXXXXXX Barham
P.S. I have a negative reaction to any sleep aide. Benadryl does nothing for me.

Answered by Dr. Kathy Robinson (1 hour later)

Brief Answer:
thanks for the feedback

Detailed Answer:
The halcion should get you some sleep in the short term. I am glad you can get in to see your psychiatrist soon.
I hope you get a good night's sleep tonight
Dr. Robinson

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar