Lamictal is the best mood stabilizer out there; it has a low side effect profile (if you do not get "the rash" which is Stevens-Johnson Syndrome that can be fatal but it is very rare and if you stop upon first notice you are out of the woods most times), and it may help chronic pain like fibromyalgia. Cymbalta was a step in the right direction because you need to try agents that have a pain controlling effect due to your circumstances. Lyrica and Neurontin have a mild mood stailizing effect mostly when added on to a base stabilizer like Depakote. Depakote has drawbacks for you because one; it has not shown to be a great adjuvant analgesic for chronic pain conditions other than headaches, two, it has a high side effect profile in higher doses. a med that can double for a stabilizer and a fibro. matinence med is ideal. Trileptal which is closely related to Tegretol but it does not have the effect on blood cells so unlike with Tegretol no blood work every 3 months is needed. Trileptal can be used with Cymbalta and Lyrica. that whould help the fibro. but possiblely not be a strong enough stabilzer with that and Lamictal is a great stabilizer and has under-rated pain controlling effects (it has some effect on one of the opioid receptors). you have multiple options so find a doctor that has experience with chronic pain and psychopharmacology, that is not easy but they are out there. some psychiatrist, rheumatologist, or even ask the local pharmacist which bi-polar meds are selling the most and same with chronic pain meds, new ones are right around the corner. watch out for ZYPREXA, i think it may be dangerous, it is basically the schizophrenic med Clozaril or Clozapine in generic.
L4,L5,S1 bilateral Laminectomies, Foraminotomies 2002
L4-S1 PLIF with instumentation 2008,
current Rx: MScontin 100mg q8hrs. , dilaudid 8mg q6hrs. prn, oxymorphone IR 10mg q6 ,vistaril 50mg prn nausea, Lyrica 150mg 2x,Adderall 20mgs 1x A.M. 10mg PM prn, Soma 350 mg 3X, Elavil 25 HS, diazepam 10mg bid prn, Supplements: CO-Q10 100mg, Vitamin D 1000IU, Fish-Oil1000mg EFA, B-Complex50 3x/day, ALA