Hi all! I have bipolar type 2 (but sometimes mixed), ADHD, PTSD, GAD, and borderline personality disorder. My PA decided that with my recent diagnosis of trigeminal neuralgia + atypical migraines and bad reactions/experiences with Lamotrigine (barely helped at all, actually increased mania frequency while slightly reducing depressive episodes) and seroquel as well as abilify, tegretol and prozac together would be a great mix for me. I’m also on 10 mg dexedrine three times a day, and I take estrodial 2 mg three times daily as well because I am trans. 


The ER doctor seems to think I have an autoimmune problem because my CT scan of my head came back healthy. What should I look out for and when should I tell my doctor I might need to drop the tegretol? Is there anything else that would work better and safer for my situation? I would like to avoid antipsychotics because I believe the abilify. Triggered my neuralgia and migraine episode. I’m 24 if that helps. Thanks!! 😊