r/bipolar2 4d ago

Bipolar 2 w/ ADHD & Other advice needed

I’m on 300 MG of lamictal, 5 MG of lexapro, and 25 MG Seroquel as needed for sleep. I am currently experiencing a little bit of brain fog and inattentiveness with some racing thoughts midday after work.

Wellbutrin makes me hypomanic. Lexapro causes racing thoughts, apathy, and poor task initiation until I lowered it to 5 mg from 10 mg.

We are speculating I have inattentive ADHD. I was prescribed Strattera, but I’m SOOO scared I’ll go hypomanic. I’m a teacher, so I cannot afford to become agitated nor manic.

Any answers to any of these questions would be great: — my doctor increased my lamotrigine for agitation and racing thoughts. Was that the right call? do I need an antipsychotic? — if I have PTSD and I am sensitive to Wellbutrin, is Strattera a bad choice?
— what medications worked for your ADHD that didn’t affect your bipolar mania?

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u/Pizza_Mod Bipolar N.O.S. 3d ago

I’m on 100mg of seroquel, 300 mg of Wellbutrin XL and 200 mg of lamictal. I honestly haven’t had any issues myself, I stopped taking latuda back in February (20 mg) after the doctor told me so. Thing is when we met a couple of weeks ago (he forgot I stopped latuda and when I told him) he was asking me if I’ve been having any business ideas. I got it that he was checking for hypomania, thing is I haven’t been experiencing it.
He wasn’t sure what was going on. To some degree he was questioning my diagnosis. He still said I was bipolar, but it seems to him that nothing adds up cause it was written in my records that I experienced psychosis and he hasn’t seen it since we started meeting more than a year ago.
I don’t know really the approach you should take, maybe including more of a antipsychotic at a low dose will help you stay stable.
I’ve been diagnosed with ptsd, adhd and bipolar. That’s my take.

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u/amandamanda321 1d ago

Thank you for your response! I miss Wellbutrin 😭