I'm on 200 mg Lamictal, down from 400 mg. That medication has been a lifesaver for me but when I had to go off them and then start them up again a month later, it took months for me to get the full effect again. The generic lamotrigamine (sp?) did not work at all - are you on the brand or the generic? Hang in there....it takes time to find the right combination as the chemicals in our body vary for each individual. One step at a time...