Have you had your dr or a pharmacist double check all of the drug interactions of your medications? My psychiatrist puts everything she prescribes to me in her computer to see how it will interact with what I already take. Including over the counter medicines. You are taking a lot of medicines, I would check that first. I would also talk to your dr about addressing your anxiety issues, for me, they are almost as important as the bipolar because the bipolar feeds off my anxiety.