Isis, thank you for your reply.

I'm on a slew of drugs, including Effexor. I also take lamictal, xanax, and low-dose trazadone (for sleep).

For pain, I take lyrica, and an arthritis drug called arthrotec. I also have to take meds for urinary and bowel problems.

My MS Specialist monitors all my medications, and I check in with the MSRNs whenever I'm given a new med or change a dose. They meet with the psychiatry dept. at the hospital regularly. I signed releases so they can talk to all my docs. And they have questioned some psych drugs in the past.

It's good to have a support system like that in place. You're right: it's hard to manage our meds with more than one condition. I'm sorry you're having to deal with Lupus and BPII, but you seem to know you're limitations and have a good knowledge of meds.

I also have difficulties making appointments d/t fatigue and pain. My docs, friends, and family all know this, and are very understanding. Most of the time, I end up inviting people over here, but they know it's pretty likely that I'll have to take a nap at some point.

-Kay