I realized last night that I had forgotten to pick up my lamictal, so I missed my evening dose. I am also on paxil and effexor, which my pdoc isn't all that comfortable with, but it seems to keep the depression at bay.

Anyways, today I am full of anxiety; shaking, chest fluttering, butterflies in stomach. I just feel altogether awful. It kind of reminds me of a toned down version of when I was hypomanic.

I think it is likely that the AD have kind of taken over without the MS overnight. Do you think that this is possible? Are any of you this sensitive to one medication error? Haven't experienced this before so I just want to know if it is normal or not.