Welcome to Just answer !
Well, i believe there are some changes required in your drug regime...i am mentioning below some changes which you can discuss with your doctor and get them done..
1) to stop abilify , because it can cause such side effects like tingling , pins and needles and palpitations...and anyways , i wonder why abilify which is an anti psychotic drug was added in the first place , it does not have any use in your case ..
2) divide effexor 150 mg into two doses of 75 mg dose each . One 75 mg dose taken in morning and other 75 mg dose taken in the evening .
3) rivotril 0.5 mg that you are taking 3 times a day, needs to be taken 2 times a day instead of 3 times a day... as rivotril is usually taken only 2 times a day because it suits its half life.
4) The rest drugs need to be taken as it is .. no changes..
Kindly discuss this with your doctor and get it done.. Hopefully this will take care of your present symptoms while taking care of your depression and anxiety..
I hope this helps..
Wish you all the best..
Please press the ACCEPT button if you are satisfied with the answer as only then will i be credited for my service.