I (35/f) recently started with a new psychiatrist, and I've gone from a Dx of depression, anxiety, and PMDD to depression with mixed features. I have 3 immediate family members with bipolar disorder and have shown pretty much all the symptoms since late high school, but whatever, sure, depression with mixed features.
I was prescribed Pristiq and Lamictal. I've been titrating up for about 3 months, but this combo seems like a nightmare. Crying jags, irritability, losing my temper and insomnia.
I have hypothyroidism on top of all of this. I started to get really sick about 3 weeks ago. Blood tests showed elevated TSH, low albumin, and anemia. I was warned the Lamictal can affect my birth control too, so it's just a cluster right now.
I have an appointment to see my family doctor this week (the psychiatrist won't see me until next month) and I'm really at a loss of where to start untangling this. What questions should I be asking? Does anyone have experience with a combination of any of these medications have bad interactions?