8 doctors weighed in:

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.

8 doctors weighed in
Dr. John Moranville
Psychiatry
5 doctors agree

In brief: 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.

In brief: 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.
Thank
1 comment
Dr. Heidi Fowler
Great input.
Dr. Heidi Fowler
Psychiatry
2 doctors agree

In brief: 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?

In brief: 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?
Thank
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