Mirtazapine, I think the name of that drug came up last week... I am going to have to look it up again. For some reason though, I think it isn't in use in the US. Where are you located? Australia, I think?
I can hear your frustration at being just passed over by a new pdoc. I am not familiar with your medical system. Are you able to select your practioner? It would be nice if you could see someone who saw you as a patient rather than a file.
In regards to her instructions to reduce that one med while you are manic, how well are you able to identify when you have entered a manic state? Hypomania, I am very aware of but when I slip into mania, it usually takes someone hitting me over the head with a big stick before I realize it. DUH! I wouldn't be able to self-regulate the dose? Does the drug have any benefits for you?
ptk