
i think propranolol is a pretty good choice for your situation, actually, i think, if the dose is high enough, and you can tolerate the effects on your blood pressure, then it can probably be very useful after a trigger? it depends on how you take it / the formulation, the short acting works for around 4 hours, but you can get extended release versions too
i took propranolol regularly for a couple of years for essentially the same thing, managing triggers. it was an effective way for me to deaden the intensity of feelings and be more productive handling them, although prolonged use eventually led to that sort of zombie lack of emotions effect. still, it did me a lot of good for the time i was on it
really, unfortunately, you have to evaluate the meds based on how you feel normally on them and when you encounter a trigger. it sounds like your triggers can get quite bad, so intentionally testing it doesn’t seem like a good idea (if you’re even able). you might just keep the propranolol on hand if it happens
in terms of data, i would look at the severity and length of the episodes where you encountered a trigger. ostensibly, the medicine should make it less severe and easier to pull out of. and if it’s not after some time, then it’s probably worth switching






ah, sorry, i saw it, i just don’t know anything about lamotrigine. and the same stuff applies with it; you’ll probably have to wait till you encounter a trigger and just gauge how bad it was and how long it lasted to see if it helps 😅