I don't know - everybody's different. But something that eventually made you manic - I'd try more lamactial. But see your mania is probably not my mania. I went psychotic for 3 weeks and it still scares me though it happened in 1993. Now I take an antidepressant low dose Cymbalta without any side effects. I feel very lucky. Think about it. And google meds do a real through search on psych meds before you commit. Love, Owl.