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Originally Posted by still_crazy
Hi. I'm not any kind of expert, but when that sort of thing happened in my world, my psychiatrist added 2 epilepsy drugs used for mood problems. In my case, I take trileptal and a low dose of lamictal on top on ongoing Abilify. Its...well, its a lot of pills, but it does seem to help.
Are you still on an antipsychotic? Sometimes, when things were really bad, I had a small prescription for low dose risperidone tablets to take at night, on top of all the other stuff. Again, it was a bit much, but I'd take the risperidone, go to sleep, and wake up far less agitated and such, and the good effect would last for a couple days.
I hope you find ways to work through this.
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I am on Seroquel (600-800 mg) as an AP. I am also on 400 mg Lamictal, 600 mg Gabapentin, and 1 mg Klonopin (PRN). Propranolol might be added to help alleviate tremor and calm things. I'm suspecting Lamictal simply doesn't do enough to help me. Seroquel and Klonopin are known to be a sedating pair, so you would think the drowsiness would flatten my emotions or calm down my racing thoughts. Maybe I need a stronger/different mood stabilizer instead of Lamictal, although side effects scare me sometimes....but that's with anything new and unfamiliar.
Sometimes meds help a little bit, but I still get these episodes. Abilify didn't work....it was way too activating and did nothing for my moods. I never tried risperidone. That might be next. My pdoc once mentioned it, but deferred it. The only med I've ever tried that has helped a lot with sleep is Seroquel, although I still don't sleep as much as I should.