It's been quite a while since I've posted on here. I was for a while trying to post at least every few days and I was doing it from work. Then things really nose-dived with the tics and along with that I had a bit of a crisis, I lost all of my confidence and suddenly felt like if I posted somewhere like this about it I'd just seem whiny or something. So I didn't post for absolutely ages.
So to update...things continued getting worse after I moved jobs. The original idea behind moving was that maybe a behind the scenes job and some new meds (clonidine at the time) would do the trick. Unfortunately that turned out not to be the case, things continued getting worse and the rate at which they were getting worse continued to also get worse.
It reached the point where after a few weeks of barely making it to work due to the tics anyway, it was decided that the motor tics were too severe and I needed to take some time off. So I did, but things continued getting worse. I tackled this probably in the worst way by just staying in the house and only going out at night, and even when I went out at night I was having to find friends to come with me. The worst parts of it were my leg tics (dropping to a crouch and shooting back up being the most damaging - it was happening repeatedly) and my back-arching tic - which more than once landed me on concrete/footpaths/roads on the back of my head. One of the most embarassing was the need to be within running distance of a toilet as I had the return of an old tic which made me make the muscle movements for voiding my bowels or bladder constantly. Along with all of that my other motor and vocal tics were going wild and battering my wrists, neck, head...the lot. In short I felt like I was getting to giving up point.
So I went back and asked for some different medication - it was clear by this point that clonidine was making little or no difference. I tried Tetrabenazine for a few weeks, but again - very little difference. It did make me incredibly sleepy but unfortunately also made me incredibly suicidal. (Looking it up online afterwards I do question the sanity of my doctor offering my a medication that comes with warnings against prescribing to people in a depressive state as for obvious reasons I was quite depressed by this point).
So I went unmedicated for a little while. I stayed in the house almost all of the time, twitching away to my audience of one. Generally being a hermit. (Hooray for video games and netflix)
Then a few weeks ago I got a phonecall from my GP saying that there had been a communication from Dr C in Birmingham (who in my view, right now, is a saintly figure) offering another medication called Topiramate.
I can't quite put into words how shocked I am by how effective this medication has been! I have *never* had anything be this effective before. I mean to put it in perspective, a month or two ago I couldn't walk the 5 minute journey to the town centre and go down the high street without an escort because I kept injuring myself with the tics (tripping over, banging head, crouching down in middle of roads etc). Now I'm fairly regularly going out alone and walking around!! I'm not saying "IT'S A MIRACLE, I'M CURED!!", but I've calmed down to the level that they are usually at when I am going through a fairly quiet period...I am so happy with this I could almost cry after the last year!!
There have been some complications though. For a day or two I lost most of the vision in my right eye. Had to go for some emergency tests at the opticians and stuff to make sure that I didn't have glaucoma from it (which is apparently quite common) and also I have for the last week had some quite catastrophic gut cramps and putting it politely...the squits.
I can also see why some patients/doctors on the internet call them "Dopamax" (the trademark name is Topamax) because they are making me a little dopey at this low dose...forgetting things in the middle of sentences, (like now that sentence was supposed to have more on it but nope...blank) and other stuff. But nothing near as bad as anti-psychotics etc.
The only kick in the balls has been that Occupational Health have now decided that I'm unfit for my position in work and I've been redeployed. Which means that from the date of that assessment they have 12 weeks to find me a new position or my contract is terminated. I've been warned by more than one person that they are probably using a very common loophole to get rid of me without contravening the DDA/Equality etc. Bit of a kick in the teeth...but I was expecting them to try something like this after having to have almost 4 months off of work sick because of the TS.
On the bright side I think I'm feeling generally happy enough to get through it, it's so refreshing to be calm enough to function fairly normally again! Already been blasting the area looking for jobs...so good luck me I guess?
Long story short...I would definitely recommend giving Topiramate a go as it really, really seems to be working for me at the moment!!
Well then...few months of post in one go!