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My pdoc used to be really pissy when I altered my meds. Then I reminded her that she's not available on Sat., Sun., Mon., and Wed. She has no back-up pdoc. I think it kinda dawned on her that there are 4 days per week when I cannot reach her.
In addition, I have so many years of experience with psych meds, how my body reacts, and so on.
So. I will say that if you can reach your pdoc (or NP) every day (or almost every day), it's probably wise to run your idea by her - especially if she's one of those that doesn't like it when you make changes on your own.
If, however, she trusts you to make minor changes, go for it. In addition, it sounds like you do have experience with the meds you're using. Personally, I think part of being a responsible psych patient is knowing when to make slight changes when need be.
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