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I would think something less activating in place of the Geodon might help - Seroquel, Zyprexa, Risperdal,etc. Abilify is pretty activating, and if you lean towards mania, it may not actually be that helpful. Also, there may not be a reason to do two AAP's - often times one is sufficient. It'd probably be wise to check your lithium, first, before adding more drugs to the cocktail.

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Using multiple AAPs is not usually a good long-term solution. You're likely to get the side effects of both, and it may not control symptoms enough to be worth the trouble. And let's not even get into the expense.

I agree that a lithium level should be your starting point. You may not even need to bother with this.

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