My pdoc is very methodical. He starts with increasing/decreasing dosages. If that doesn't help, then he adds/removes medication. I think that's how it should be!
I would dump any pdoc who kept adding/removing medication without trying to tweak dosages first. If you just add/remove medication and you only try 1 dose, you're going to run out of medications
fast.
Right now I'm not on too many medications, but my pdoc seems to be the kind of pdoc who adds medications without removing them. I think in the future that may be a problem.
I wish I was on Wellbutrin instead of Lexapro. I have ADHD and I've heard that Wellbutrin helps with that. So, it'd be a win-win for me... helps with bipolar and ADHD. My pdoc doesn't help with my ADHD symptoms (won't give me stimulants, Wellbutrin, or anything). So, I'm disappointed with him from that point of view.