I’m bipolar. My psychiatrist of 15 years is retiring and I’m concerned that a new pdoc will want to change my drug regimen. It took us many years to get to this combination. I’ve been on it a few years now and I think it’s as perfect as it’s going to get. I’m sorry to be so specific but these are my medicines and my concerns about them:

I take 80mg of propranolol with my Latuda to control akathisia. We started with 20mg but this is where we ended. Will new doc think this is too high or that I should change AAP’s? I take both Lamictal and Wellbutrin for depression. Will he think I should just take one or the other? Will he think 450mg of Wellbutrin is too high? And the most scary because it’s the most likely, is will he let me keep taking 3mg of Lunesta with 50mg of Seroquel to sleep? I’ve had problems sleeping all my life; this sleep combination works perfectly for me. (I don’t expect Xanax ever again—from any pdoc.)

Is it likely that he or she will think this is too many drugs?

I don’t mean to sound paranoid but I’m wondering if from your experience you can tell me how likely any of this is. How much will it help if my pdoc talks to them first? Is it different for a woman or a man or a nurse practitioner?