I have bipolar. Adhd and fibromialgia. I have been on Effexor for 14 years between 300 and 450 mg for chronic depression. Since my bipolarand adhd diagnosis i have been on vyvanse 20 mg and epival 750mg. I have been weening off my Effexor to see if i actually need an antidepressant or if a mood stabilizer is sufficient. I did still get quite depressed on Epival and effexor together and my Dr thought a change in antidepressants might help. He has recommended Trintellix. However , my fibro pain is excruciating since coming off all antidepressants. My mood is good. Should i try a new ( hopefully better ) antidepressant that will also help with my pain. Or should i go on Trintellix and go on a completely new drug for fibro pain ? Please help.