You are experiencing a very high degree of polypharmacy. I am well aware of all the medication that you are taking and have the education and experience to back up that label of polypharmacy. What I find to be most disconcerting is the repetitions occuring in your medicinal regimen. You are on at least four medications in the SSRI class all with the same action, You are on at least two atypical anti-psychotics, both of which effective by the same action. The dosage levels of thes atypical anti-psychotics is alarming. I understand that we all experience different degrees of severity of symptoms and that the professionals to prescribe an effective course of treatment but I am extremely concerned about your overall health currently to say nothing of the long term effects of these medications, dosages and repetitive useage of duplicating medications that have the same action. I am not a pharmacist so I cannot legally give you any specific advice but I STRONGLY suggest that you seek a consult with a reputable psychopharmacologist for your own safety and benefit.
Wishing you the best and praying that you seek help before it is too late...
ptk