I'm so disappointed right now. My pdoc was fighting with my insurance compNy to cover the invega but they have flat out refused, even after being given all the evidence that I've tried many other things and invega is what works. They said that they will not cover a medication that has to be administered by a nurse or physician. I don't know why. They won't cover the pill version of invega either, which I don't understand bc that I can take myself.

So, after having no manic/mixed episodes for almost three years, I will have to stop it and start something else.

The question is, what? My pdoc is recommending latuda. But does latuda work for keeping mania at bay? I know it's supposed to be better for depression. The emsmam has me covered for depression. Should I even look into another AP or should I go back on a mood stabilizer instead? Which one would be best for mania? Trileptal controlled mania for me in the past. I went off it because it didn't help the depression at all. Now that I think about it though I did have a manic/mixed/psychotic episode while on it...but I wasnt taking it properly. I was skipping roses and stopping/starting at a whim. When I was compliant with it for a short time it did seem to work.

Or should I try latuda? What about vraylar? I know that's a newer one. I can't take anything sedating because I have to get up early for work. That's why the invega has been perfect (except for the high prolactin). Maybe I should just go back on risperdal? That raised my prolactin as well though so if I'm looking to get rid of that it won't help.

Oh I just don't know what to do. I've been stable for almost a whole year and now this might mess it up completely. I can't go back to the hospital. It will screw up my son irrevocably, I fear. I also can't miss work at this new job. Not for an extended period of time anyway.

****ing insurance. Telling me what I can and cannot take. Dickbags.

Does anyone have any advice in terms of meds?