Your med doses are kinda low. I looked up Invega because I don't know it and while it doesn't have anything for bipolar (not approved for it apparently) this is what it says:
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The recommended dose of INVEGAŽ (paliperidone) Extended-Release Tablets for the treatment of schizoaffective disorder in adults is 6 mg administered once daily.
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The recommended dose of INVEGAŽ (paliperidone) Extended-Release Tablets for the treatment of schizophrenia in adults is 6 mg administered once daily
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I'm pretty certain that when I tried to take Trileptal the starting dose was 300 mg. I could be wrong on that, it didn't work out for me and it was a long time ago but I think that may be a fairly low dose as well.
So you definitely do have room to go up and still be on quite reasonable doses.
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Bipolar 1, PTSD, GAD, OCD.
Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1600 mg & 100-2 PRN,. 2.5 mg clonazepam., 75 mg Seroquel and 12.5 mg PRNx2 daily
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