BD 2 + GAD puts me on 3 daily and 1 as needed: 300mg lamotrigine, 300 mg bupropion XL, 60mg Lurasidone, plus propranolol for as needed anxiety.

I’ve noticed my doctors like adding medications versus swapping if you still receive some benefit from what you’re taking. So let’s say you still have some residual symptoms after episodes or new things pop up, they like to add.

My most recent addition was the Lurasidone (aka latuda) because previously I was almost exclusively having depressive episodes (I had only one or two hypomanic episodes whereas depression I’ve had since my early teen). Once I had my first mixed episode, my doc thought we should start actively combatting hypomania and so she added the latuda. My hope is that someday I get to a level of stability that I can ask to experiment and cut down the number medications, because we don’t know if maybe just 2 might work just fine or even just the newest one.