I agree about seeing your doc before changing medication. Also, I found out the hard way that letting yourself stay manic (I was since April & didn't tell my doc cuz it felt so good) can lead to dangerous behavior. Ended up in the ER with an overdose. Always tell doc about change in symptoms & discuss side effects of medications. He/she should be working with you to counteract the side effects. I take 2 medications to combat the excessive daytime sleepiness I had (Concerta & Provigal). They are working well.--Suzy