It's not possible to generalize when it comes to bipolar. I've learned that lamictal at therapeutic doses didn't prevent a manic episode, and lithium at doses I was able to take also didn't. I can take oxycarbamazapine but that knocks me out so after many relapses into psychosis I understood that I'll be on an antipsychotic for life.
Some meds are more important for long term stability than others. Which meds were you taking/ It's usually the ADs that diminish sex drive.
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BP 1 with psychotic features
50 mg Lyrica
50 mcg Synthroid
2.5 mg olanzapine
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