[birdcrazy]

My current meds are:
Fanapt, Lithium, Trileptal and Wellbutrin, Kolonopin as needed to treat Schizoaffective Disorder and Anxiety

First of all, my tdoc disagrees with my current dx, should I bring this up to the pdoc on Monday?

And more importantly, when is the best time to mess with one's meds? I'm doing well enough that soon voc. rehab. might have work for me to do. But me and my husband want my meds messed with because he doesn't like the amount of meds I'm on, and also especially the lithium has to go because we are thinking about a baby maybe. I mean should I try to get med adjustments over with before I start work, or do it during work but if I do bad during the work trial I won't be given a job, etc.. or are med adjustments just a bad idea if I'm doing well.

"Messing" with your meds is a bad idea without consulting with your pdoc. If you are interested in perhaps reducing the number of meds you are on, that is a discussion you absolutely need to have with your pdoc and allow him to come up with a plan. He will probably have an idea of what, if any, med might be reduced or discontinued without causing you problems.

[sewerrats]

your husband dont like the amount of meds your on but you say your ok, he may not like you the way you would be without them your the 1 taking them not your husband. You have a real illness that is not something you can just forget , it takes a lot on med juggling to get this one right it not a mild illness.

[birdcrazy]

Originally Posted by 1914sierra

"Messing" with your meds is a bad idea without consulting with your pdoc. If you are interested in perhaps reducing the number of meds you are on, that is a discussion you absolutely need to have with your pdoc and allow him to come up with a plan. He will probably have an idea of what, if any, med might be reduced or discontinued without causing you problems.

I didn't make it clear, I was talking about discussing it with my pdoc.

[BipolaRNurse]

The cardinal rule is, generally, "If it ain't broke, don't fix it".

IOW, if your meds are working well it's probably best to leave them alone. IF you decide to have a baby, that would be the time to talk with your pdoc about reducing o changing your meds.

And I'm sorry, but your husband's preferences don't have any bearing on your bipolar treatment. It's what's best for YOU that matters. Good luck, whatever you decide to do.

[birdcrazy]

Originally Posted by sewerrats

your husband dont like the amount of meds your on but you say your ok, he may not like you the way you would be without them your the 1 taking them not your husband. You have a real illness that is not something you can just forget , it takes a lot on med juggling to get this one right it not a mild illness.

He thinks the medication is bad for my health. He thinks if I"m doing well medication can be taken away from me safely. But I am aware that maybe taking away a med would have a bad effect on my mental health. I want a job badly, right now I'm volunteering and I'm doing such a good job my supervisor doesn't want me to leave.

[Sometimes psychotic]

So sza is a lot like bipolar rx wise...typical number of meds for a female with bipolar is five which is what you are on ie perfectly average. Wouldn't change a thing.

[birdcrazy]

My tdoc thinks I have bp with psychosis instead of sza and asperger's syndrome on top of it.... but they are medicated the same so my pdoc probably won't change a thing.

[Altered Moment]

If it ain't broke don't fix it is also my philosophy.

What meds and the number of them should be between us and our pdocs. I understand that a husband may have concerns and want a say in the matter but I do not know that he should be making those decisions.

If you are volunteering going to get a job and doing well why mess with that?

What evidence does your husband have that they are bad for your health? Has he considered that if you become unstable the amount of overall stress that will cause you? Stress is very bad for your physical health. Living life stable and feeling good about what you are doing is much more beneficial to your physical health than the meds are bad for it IMO.

[birdcrazy]

Originally Posted by zinco14532323

If it ain't broke don't fix it is also my philosophy.

What meds and the number of them should be between us and our pdocs. I understand that a husband may have concerns and want a say in the matter but I do not know that he should be making those decisions.

If you are volunteering going to get a job and doing well why mess with that?

What evidence does your husband have that they are bad for your health? Has he considered that if you become unstable the amount of overall stress that will cause you? Stress is very bad for your physical health. Living life stable and feeling good about what you are doing is much more beneficial to your physical health than the meds are bad for it IMO.

I told him Lithium destroys kidneys. Also in the past Abilify made me diabetic, he thinks something else can happen in the future if I keep taking meds. But I cannot function as a sane human being without the meds, that's the thing.

[Altered Moment]

Yeah I agree the risks are real and it is a cost benefit equation. Wanting to get pregnant would make it all the more difficult.

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