Hi maryjain lockhart; how long have you been on lamictal? Your p-doc needs to increase the dose slowly (I started at 25 mg and now I'm at 200 mg), but this was done over 2 months. The reason why the dose is increased slowly is because it decreases the chance of Stevens Johnson Syndrome (deadly rash) from occurring. I found until my lamictal dose got to 100 mg / twice daily my mood was all over the place and I was being triggered into hypomania or mixed states. Now I have been fairly stable.

I hope that med combo works for you.