I take 5 psych meds and 2 for pain. I feel like it's a lot, but it's managed to keep me largely stable for 2 years. If it works, it works. If it doesn't, then adjustments are definitely necessary.

Gabapentin and Topamax are very similar medications. Are you taking one for pain (Gabapentin is also for chronic pain and Topamax is sometimes prescribed off-label for pain) or both for BP? I'm no doc, so take this with a heaping grain of salt, but I wonder if one of them can be nixed, or replaced by another? On the other hand, if you're stable, why change what works...

Sometimes I really wonder what all this stuff is doing to our brains long-term. I wonder if I'll (or all of us) will have some sort of side effects down the road (aside from short-term) that no one knows of yet. I don't think they study the very long-term effects of psych meds. But I tend to think in the short term, and I'm just so thankful that this combination has kept me stable for so long. We'll see...