I saw my psychiatrist the other day. I told him about my various adventures lowering meds- with the only one that worked out being going down on the Zyprexa from 7.5mg to 5mg. He told me that it was okay that I adjust my Zyprexa between 5mg and 7.5mg as needed, but that I shouldn't adjust my other meds without discussing it with him. And then he said that I pay him for his advice, so I should probably take it.
Otherwise he raised the Synthoid to 75mg because my free T4 is still low. I have had more energy since going on the Synthroid. I had been writing off my fatigue as being overweight, not realizing it was thyroid. Everything else is still the same. I do get the feeling that he doesn't really approve of the Provigil- in fact a couple of times he even offered to prescribe an amphetamine in its place. But I have had too many bad reactions to amphetamines- although I think that I did tolerate Ritalin OK in the past. What I would really like to try is Nuvigil- because then I wouldn't have to take a pill in the middle of the day like I do now- but financially that is not possible right now. I can barely afford the Provigil, which is generic. And my insurance company is not paying.
Filling prescriptions has gotten too confusing. I really should have gone to Walmart to fill my synthroid- it would have been 10 dollars for 90 days, instead of 34 dollars at my hospital pharmacy. I am in a high deductible plan, and haven't met it yet- and my insurance company prices for drugs often are worse than Walmart. Although- then there is no paperwork for my claims to count towards my deductible and my meds are all at the same place. Except for my Provigil, which I fill at Costco anyway.