Just got back from an emergency pdoc visit.. realized this past Tuesday that I have been in a hypo-manic episode for almost a month without even knowing. Sigh. Med change time

I was put on Lexapro prior to my BPII dx for GAD/depression, and was told that SSRIs can invoke BPII behaviors, so we are going to phase out Lexapro and replace it with Cymbalta which is an SNRI.

In addition to that I am being given Zyprexa to take nightly to calm my *** down a bit and hopefully bring that hypo down to baseline.

Also we are increasing my Trileptal from 150mg twice daily, to three times daily, then after 5 days of that bump it up to 300mg twice daily. Apparently I was on a fairly low dose before. So hoping that will help as well.

Yay