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I believe the previous expert is offline since quite a while and since this question was asked to me first but i could not attend to it then because i was offline at that time, so now i shall try to answer this question..
Well, i do believe that you are on too many drugs and some of the are being taken at the wrong time and both of these are contributing to your anxiety..The drug regime that you are currently on does not make a balanced drug regime, as it does not seem specific for your condition as some of the drugs are being given at odd timings such as for instance cymbalta is given at morning time , while it is recommended for use at night because of the sedative effect that it has plus you are on too high a dose of this drug which in fact is contributing to anxiety. Besides this, zyprexa 2.5 mg is not supposed to be taken in the morning / afternoon as it may be contributing to your anxiety and causing sloppiness and lethargy whole morning because of it's sedatiave action.
So, all in all your drug regime defintiely needs some dose adjustment and some drug replacements , so i am mentioning below a revised drug regime for you so that you shall discuss it with your doctor and get started on this revised drug regime and this shall bring about control over your bipolar disorder and anxiety both, effectively.
1) Morning -- 1 mg xanor/zanor, epilem 300 mg ,
2) Afteroon ( lunctime) -- 1 mg zanor/xanor, lyrica `150 mg
3) Nightime ( after dinner) -- Cymablta 60 mg , lyrica 150 mg , epilem 500 mg , zyprexa 15 mg .
You see this is a revised drug regime which you need to discuss with your doctor and carry out the necessary recommended changes. I am mentioning below the reasons for my suggestive changes..
cymbalta 60 mg is an optimal dose of this drug, any dose above this dose does not really add to any more benefits, all the more higher dose of 120 mg may cause anxiety, plus it needs to be taken at night time because it causes sedation which can be used to get a good night sleep while in morning the same dose will lead to sleepiness and anxiety..
Zyprexa is taken as a single daily dose because of it's long half life which can cover the whole day in a single dose , and it is supposed to be taken in the night time only because of it's sedative action. It was perhaps contributing to your anxiety since it was being taken in the morning and afternoon , so i have suggested to take 15 mg dose single time at night to allow it to function to it's best capability without causing anxiety..
zanor is to be taken in morning and evening to allay anxiety and not taken in the night because the rest drugs recommended at night will be enough to compensate for its actions..
Lyrica to be taken at afternoon and night as morning intake is not recommended as it may lead to worsening of anxiety and even sedation, so hence the changes..
imovane at night should be stopped since there are so many drugs with good sedative action to be taken in the night that the use of imovane is not required any more.
I hope this helps..
Kindly discuss this with your doctor and do the needful changes and wait for 1-2 weeks to start appreciating improvement in your anxiety and bipolar symptoms..
Wish you all the best ..
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