Bipolar+ anxiety disorder
Hello, i have been diagnosed as bipolar iii+ GAD, and i am on escitalopram, lithium, lamotrigine and propranolol since 6 months, i am an mbbs doctor and i had taken escitalopram 20 mg for social anxiety issues in 2020 but then after three months i slowly quit those meds, after quitting i have developed sexual issues, physical symptoms and mood issues. Now that i am on these meds i have seen improvement in mood and social anxiety, but i still have sexual issues like low libido and possibly erectile dysfunction, also physical symptoms like fibromyalgia random muscle pain, pins and needle sensation and some ibs like symptoms. Unfortunately I cannot increase escitalopram bcz it causes me to switch and benzos like etizolam makes me drowsy. I also tried agents like tofisopam and buspirone but they didn't help. Now what should i do in such cases. Also i had really like really high Libido, also due to these meds currently i have lost that rage and motivation, is PSSD real? EMA is saying yes.
