A 28-year-old female asked:
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 answered
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
Dr. Heidi Fowler answered
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
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