I wouldn't be so bold to offer an opinion, suga, as we have totally different drugs at totally different doses here. It also depends on whether you are bipolar I or II, with or without psychosis primarily. That's why the pdoc is so important. Only, remember that all pdocs are not created equal. If you know someone locally who you feel is succeeding in treatment, I would consult with them regarding who is a truly well-schooled pdoc. Also, on a personal note, I would also never be so bold as to recommend medicine changes to someone as I am not a professional. I only give opinions in general based upon my experience, which is limited. I'm not trying to flake out on you, I just want the best care for you. K?