As the dose goes up, I don't necessarily feel better. And even though now I'm finally able to work, I have that overmedicated feeling. My head has been killing me the past three days and I haven't been able to work. My memory is getting worse. I have random tics. It's just been a mess. The Trileptal was fine, Lamictal was added in PHP for some reason. The Effexor hasn't done anything for me in the first place. I've mentioned going off of it a few times to different doctors and I'm always told not right now for whatever reason. I was on Pristiq originally, but then the price jumped and I was switch to Effexor. The Wellbutrin was thrown in last summer and I actually like it. Since it was added, I've actually been able to stay awake during the day instead of drinking caffeine all day. So that I want to keep. Ugh mixing cocktails are annoying...