I echo the point that removing nicotine from your daily routine means you’re losing a stimulant. (The first time I had a cigarette was the first time I had a clear mind for even a few minutes. It was amazing! Congrats on quitting, by the way. I quit over a year ago, but I only smoked regularly for a few years. I can’t imagine giving it up after more than half of your lifetime!) I have no real advice outside of “try something different since Cotempla isn’t doing the job,” advice which is based only on my experience of finding the right meds cocktail for my bipolar disorder. Good luck!