When I returned to work after having been laid off last year, I had to reduce meds to clear the brain fog. Not that I didn't enjoy the brain fog, mind you (it was kinda cool and spacey), as long as I didn't have to do things like brush my teeth or balance my checkbook. So I tried a number of combinations, increasing and decreasing, until I found what worked. I feel great now and am functioning well. I won't have the high-pressure career I had before, but I do my simple job well and am keeping a roof over my head...these are high priorities for me. I see my pdoc and PCP at frequent intervals, and we have a "plan B" in place.

Last year was a challenge for me, with three lengthy and frightfully expensive hospitalizations, so I know how quickly things can change; however, I think that experimentation with dosages isn't always unhealthy if you have reliable feedback. For me, at least, high-dose cocktails may be necessary and desirable for crises but WAY too risky for maintenance. It's all about balance.