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Thank you for your question and welcome to ADHDCentral.com   First, I am not a medical professional and would not be able to provide any medical advice. I think you should speak with your doctor and let him or her know about what it going on. It certainly is not good for you to be sleeping so little. This can aggravate bipolar disorder and make it more difficult to cope with stress.   You indicated you know you should not suddenly stop taking the medication and so, again, it would be best for you to discuss your lack of sleep with your doctor as soon as possible.   Eileen Bailey
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