i can often be up for over 2 days. my eyes would sting, don't really think straight at all. recently, tears would dry into what i can only describe as tiny shards that don't hurt much at first but repeatedly blinking makes it unbearable and i'd have to wash my face every half hour. if i do manage to fall asleep after all that, there have been times i'd only manage 15 mins. only thing that really helps is alcohol. but i end up drinking too much. meaning when i wake, i look for anything left over and immediately start drinking again. when i finally run out of drinks, the hangovers get pretty severe. i rarely vomit but i'll dry heave for almost half a day. then there's the possibility of a gout episode. fun, fun fun.