[Wonderfalls]

I’m bipolar. My psychiatrist of 15 years is retiring and I’m concerned that a new pdoc will want to change my drug regimen. It took us many years to get to this combination. I’ve been on it a few years now and I think it’s as perfect as it’s going to get. I’m sorry to be so specific but these are my medicines and my concerns about them:

I take 80mg of propranolol with my Latuda to control akathisia. We started with 20mg but this is where we ended. Will new doc think this is too high or that I should change AAP’s? I take both Lamictal and Wellbutrin for depression. Will he think I should just take one or the other? Will he think 450mg of Wellbutrin is too high? And the most scary because it’s the most likely, is will he let me keep taking 3mg of Lunesta with 50mg of Seroquel to sleep? I’ve had problems sleeping all my life; this sleep combination works perfectly for me. (I don’t expect Xanax ever again—from any pdoc.)

Is it likely that he or she will think this is too many drugs?

I don’t mean to sound paranoid but I’m wondering if from your experience you can tell me how likely any of this is. How much will it help if my pdoc talks to them first? Is it different for a woman or a man or a nurse practitioner?

I would advise to have your current pdoc brief your new pdoc.

[catnip123]

I don't think (or at least hope) that the new pdoc will change your medications if you are doing pretty well. they should get to know you and your situation before changing anything. it may be that you are good on the meds you're taking and the new pdoc will continue to prescribe them for you

[SingDanceRunLife]

If what you're doing is working, I would guess that the new pdoc would continue on your regimen. Maybe tweak it some, but not overhaul it.

[kecanoe]

I also think that if you are doing ok after a lot of trial and error a new pdoc will stick with what's working