obviously your meds aren't working or you wouldn't be experiencing these mood fluctuations. I have never seen the sense of adding new meds to meds that aren't working or upping doses to meds that aren't working. if they were working you would see some relief at the lower dose. I drove my drs up the wall changing meds all the time but I got tired of being on six different meds that weren't working. so I tried one mood stabilizer at a time. if it didn't stabilize me or had negative side effects I moved on within a couple months. docs didn't think I was giving meds a chance but I wasn't going to waste my time with something that wasn't working. it took me a couple years and almost all the meds but we finally found one that took care of nearly all my symptoms. then we added a second to finish it off. no side effects total stability. it is possible. you just have to be really patient and advocate for yourself.