I'm on Lamictal as well. Originally I had a low dose along with Lithium, but the lithium side effects were unbearable, so my Lamictal has been gradually increased to 200 mg. So far so good. It makes me nervous overall to think that I'm one pill away from mania.....but my pdoc is watching me closely. I'm so glad you had your appointment and are feeling better right away. Getting on meds that work for you will make everything easier......all the best, greylove