When I first started lamictal, I felt like a truck had hit me. Very flu-like, could have sworn my lymph nodes were swollen. Was sure it was intolerable. But about the time I was ready to call it quits, my pdoc increased the dosage and strangely enough the side effects got better. The higher the dosage, the less the side effects. I've heard that from many people about their experience of starting lamictal. Something to think about.