March Madness -Game Time

The medication game.
This is a fun reality that comes along with a brain like mine. I am just kidding about that, if you didn't catch my sarcasm implied by italics.
The medication game can be difficult. It is especially difficult for my dads daughter (me) that hates taking any medication for anything almost as much as her dad does.
But for me, at times in my life it is necessary- medication that is. Well, if I want to live any quality of life anyway.
So my recent and most complex cocktail yet has consisted of several vitamins and supplements including (but limited to) a thyroid support, biotin, and fish oil, and the perscritptions: quetiapine (generic for Seraguel) at 200mg extended release and 50-100mg regular release every night, dextroamphetamine sulfate (generic for Adderall) at 15-30mg's daily and escitolapram at 15mg nightly (generic for lexapro).
Prior to the second TBI causing car accident of 2017, I was managing well with only the vitamins, supplements, and Adderall at 10-20 mg's on most days, but not all. I did not take it on days that I had nothing going on or nothing I needed to worry about focusing for. I do believe I was coming out of a bit of a depression but I had not needed medication for it. I think out of 100% (100% meaning no depression or anxiety) I was about 70-80% fine in terms of depression and 90% good on anxiety. (90% of the time having none, 70-80% of the time, not depressed at all or only very mild symptoms of depression were present).
Then the blow to the head instantly flipped it. It was like someone took the thread that had me almost completely stitched together and yanked it unstitching me all the way down to 10% held together against anxiety symptoms and 20% held together against depression symptoms. I was an emotional mess.
After one week of working and trying to be fine I was a mess. I could not remember things, my brain was foggy, I was emotional and anxious, AND I had developed a sinus infection. After my concerned chiropractor diagnosed a concussion I scheduled an appointment with my regular family doctor (who could also treat the sinus infection).
He immediately put me on Lexapro.
I cried.
Like I had everyday since the car accident and like I would everyday until about day 5 of being on the new anti anxiety and antidepressant medication. The anxiety started to be a bit more manageable as well.
Fast forward to now. If you have followed you know the insane story that has me now on 3 medications for my brain. There has also been a suggested 4th; an anticonvulsant due to the possibility of  seizures that the EEG was suggesting.
While I have had some undeniable seizure activity now, they have still been very minor and only when I am asleep (with one exception that happened just after waking up), so I just can't do it. I can't add a 4th drug to my mix. At least not before consulting with a neurologist that actually treats and has experience with treating people with TBI's. But that appointment has taken months and I am still waiting.
So in the meantime - because I am resourceful and maybe also because I refuse to be be a victim or wait around for everyone else to figure it out for me- I have wondered if maybe dropping one of the three medications could solve the tiny baby seizure problem.
I presented the idea of dropping the Lexapro to my psychiatric PA. She is on board with the idea and guided me in how to proceed, making sure I know and will respond appropriately if I start slipping into depression and/or we find that the Lexapro may be "doing more than we think."
The team work is nice.
So I started the weening process a couple of weeks ago and last night made the big decision to not take the lexapro. I have been taking 5mg for at least a week and it has not seemed to be adversely affecting me.
... but today, with none in my system, I feel it; that I am once again playing the medications game.
Going off medications like this can be difficult. I actually went off the Lexapro for a couple of weeks back in March or April of last year when I was still under the care of the negligent Neuroscience Institute. At that point I was not on the Seroguel, just the Lexapro and Adderall (but Adderall only when I wasn't feeling high). I went off the Lexapro because I wanted to know what my baseline was since Dr. Concussion was being so... conservative?... in her treating me and kept wanting me to hold out to see if I would recover without changing or adding medication. (that was really stupid of her, btw, because I was literally fading, which in the bipolar brain IS dying -it'd be the equivalent of having a diabetic try to wait it out to see if their pancreas will magically start producing insulin again and balance out the glucose- probably not an intelligent risk to take)
Even though I weened easily last year, I felt an increase in irritability and a decrease in patience in addition to the mood instability that was still playing out so I had decided to go back on it.
This time, today, I feel a more familiar going-off-medication kind of feel. It is like a weird lightheaded feeling that comes on sometimes. Like in grocery stores. In fact as I think about it I am wondering if the weird lightheaded feeling comes on more in when their is an added element of stress. Not that stores are stressful but rather I don't seem to experience it so much when I am just hanging out at home working on nothing out of the ordinary or of significance. Of course this is only the first day off. I will have to pay attention to this. Sometimes these feelings can intensify, letting you know you went off too fast. Then the prudent and typical course of action is to try half of the 5's and maybe every other day. But if the lightheadedness does not intensify in the next couple of days I will endure until it resolves... or until  I tire of the weird feeling and start taking it again to try weening slower again.
Sometimes it can be pretty ridiculous, like with Paxil -holy cow, that one is stupid hard to get off of. This feeling is similar to that, but like 1 or 2 out of 10, Paxil being the worst weird lightheadedness at 10 ... Paxil has a world-is-shaking-and/or-spinning too. I'd be down to about the equivalent of about a lick but every time I'd stop the shaky world and lightheaded weirdness would start and not stop. I'd try to endure and out last it but after 2 weeks (or more) I'd cave. I finally was able to get off, but it took going onto a different medication, Welbutrin, to get off it.  Weening off the Welbutrin was nothing.
So it is medication game time again. As I am reflecting I think I do remember a bit of lightheadedness the first day or so when I tried going off the Lexapro last year.
We'll see how it goes this year.