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It's true, you do have options. Are you on Lamictal? I know that many people with BD cannot take an antidepressant. But some can. A year or so ago I fell into a deep depression; my pdoc and I discussed ECT. But she said she wanted to try one more med before we committed to ECT. She prescribed Pristiq (an antidepressant) and it was like magic for me. Within 3 days the depression lifted and it has remained quite stable.
Anyway, some of them you've mentioned...Abilify, Latuda. But giving Vrayler a chance seems wise, do you think? It does seem that discussing a med such as cogentin or propanalol - also there's one my own pdoc wants me to try for tremor...start with an "Am...". I cannot recall the name of it, but when I talk with her on Friday I'll write it down.
In the meantime, you shouldn't have to suffer with akathesia, agitation, etc. I do hope you'll reach out to her and be assertive about your need for relief.
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