My psychiatrist started me on Wellbutrin today since the Lamictal was not addressing the issue of depression, low energy. Lamictal may not be contributing to the pulmonary infections at all. Anyway it didn't seem to work well for me. We also looked at Seroquel. I am having some changes in my pancreas so that may be contributing to my problems. This all may be coincidental but it is worth trying a change to see if it helps. This situation with my lungs being damaged and the chronic infections have me concerned.