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How do I avoid mania on two ADs?

Posted by phidippus on January 16, 2012, at 20:37:02

ADHD/BIPOLAR/OCD...That's me. I take Vyvanse for my ADHD, which also helps treat my OCD. To treat my Bipolar disorder I take Lithium. To treat my OCD I take Viibryd and just now started Mirtazapine. To help keep my mood stable and augment my OCD treatment, I take Latuda.

I am very happy with all my meds, but the Viibryd is a little weak, so my pdoc and I have decided to add Mirtazapine. I am very concerned about becoming manic and wonder if anyone out there has any ideas?

Increase my Latuda?
Add another mood stabilizer?

Here are my meds:

Lithium 1200 mg
Viibryd 40 mg
Mirtazapine 30 mg
Vyvanse 60 mg
Latuda 80 mg
Ativan PRN
Dilaudid PRN

Thanks!

Eric


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poster:phidippus thread:1007522
URL: http://www.dr-bob.org/babble/20120108/msgs/1007522.html