You have to start really low and slow on the dosage with Lamictal, so it takes a while to get up to the right dose.

For me, Lamictal has probably saved my life. It really helped me get stable. I am Bipolar II, and they say Lamictal is the best drug for that. It is shown to be effective at Bipolar depression too.

I'm at 400mg. I was very unstable before taking it, so it did take several months and several medications to get me stable. But I have been doing well for over 6 months on it.

I've never used Paxil or any other antidepressant with Lamictal, but I know that some doctors do prescribe an antidepressant with Lamictal and that works for some patients. But for other patients, it can lead to mania. Each person is different.