I saw my psychiatrist today. I talked about options, and we are going to try Lamictal again- with the aim of getting off of Zonegran eventually. However, he wants me to go on the Lamictal before I go off of the Zonegran- which has me a little nervous that I will be unable to get off the the Zonegran and wind up on two anticonvulsants.
His other suggestion was Latuda. But I told him my fear about the intractable insomnia I get whenever I have tried to stop Zyprexa or to switch to another antipsychotic. And he told me that I could take the Latuda and keep taking the Zyprexa for sleep. But I don't like the idea of taking one antipsychotic, let alone two, so no way.
I asked him what he thought about Seroquel, as that might just help with the sleep enough to get off of the Zyprexa. He didn't think it did much as an antidepressant and had a lot of side effects. So I decided not to do that one.
I'm really not sure if I am doing the right thing with the Lamictal. I was on it twice before, but never as monotherapy, so it is hard to know exactly what it was doing. But also, maybe things aren't that bad. Today was a better day. And I really think that a lot of what is going on is life, not necessarily biology. So messing with my meds might not help.
And going off of Zonegran might make me worse.
It is too bad that psychiatry is mostly trial and error.