A 28-year-old female asked:
Disclaimer

i currently take lamictal 10mg, prozac 20 mg, latuda (lurasidone) 20mg, vyvanse 70mg, and wellbutrin 300mg but can't sleep still?!?! and mood are all over still.

2 doctor answers
Dr. John Moranville
35 years experience Psychiatry
When do you take?: Diagnosis? Lamictal and latuda (lurasidone) for mood stabilization? Both are subtherapeutic dose. Prozac and Wellbutrin are antidepressants and may increase mood variability. Vyvanse is stimulant. Bipolar d/o and ADD overlap as far as symptoms, but rare to have both and treatment very different. All but latuda (lurasidone) can be stimulating and should be taken in am. Please discuss with prescribing doc.
Answered on Oct 17, 2017
1
1 comment
2
2 thanks
Dr. Heidi Fowler
24 years experience Psychiatry
Great input.
Oct 17, 2017
Dr. Heidi Fowler
24 years experience Psychiatry
Agree w earlier: response that lamictal & latuda are sub-therapeutic. Vyvanse & wellbutrin should only be taken early in day. I won't make any comments about changing your complex medication regimen. However, - have you tried acupuncture to help with sleep or to balance Qi? How is your sleep hygiene?
Answered on Nov 28, 2017

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 41-year-old male asked:
Dr. Thomas Namey
47 years experience Rheumatology
Yes.: Several of the meds you take can cause this problem, especially the propranolol!
1
1 thank
A 41-year-old male asked:
Dr. Robert Killian
27 years experience General Practice
Over medicated: Hi. Some of us here on health tap may have disagreement about this. But, by my reading you are on seven different medications that affect your brain. ... Read More
1
1 comment
1
1 thank
A 48-year-old female asked:
Dr. James Van norman
33 years experience Psychiatry
Stop a minute: It's unlikely that a medication is going to help with binge eating. Your doctor may have decided that there are anxiety or depression issues inclining ... Read More
2
2 thanks
A member asked:
Dr. Elizabeth Finley-Belgrad
33 years experience Child Psychiatry
Talk to prescriber : Wellbutrin 1/2 life -the time it take for 1/2 to be out of the body is 33-37 hrs so really the fastest, the prozac is 2-4 d , but has an active metabo ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month