I think all of those things are reasonable. I think that getting sleep is a big thing to help; I know that if I am not sleeping I am going to be cycling or am cycling. We even have a rule that 3 days without at least 3 hours of sleep and I call my pdoc and I let her know if 3 hours of sleep per day goes on 5 days (or sooner if desperate). One night of missed sleep can cause months of cycling for me.
Are you still on another AP? My pdoc made it sound like Rexulti would need to be used with another, low dose AP. I think that it wasn't approved to treat mania? Can't remember for sure but I think that's it.
And the scary suicidal thoughts definitely need to come up and asking why and how to stop them is totally normal.
I think you have a good plan. (I actually fell asleep writing this so if 4 other people have posted exactly the same thing that's why I'm repeating myself. The only cold med I can take is liquid vicodin and it either does nothing and I function fine or I wake up and realize I fell asleep sitting up. Oops).
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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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