For what it's worth, I think mood stabilizers are the backbone of treatment for BP---eliminate them, and everything else falls apart no matter how many drugs one is taking. I don't believe it's so much that Lamictal has effects we actually
feel, but we'd notice its absence. It's like making a screwdriver: you have orange juice and vodka, but if you don't have a glass, all you wind up with is a mess.
I know it's frustrating when you don't think a drug is doing something for you, and FWIW, I take a good-size amount of Lamictal myself and it doesn't fix everything. But everytime I think it's not doing anything, I remember what my life was like before I started it and realize how much less severe my mood swings are now. I still have them, and I'm still a rapid cycler, but the effect is blunted.......I used to rage at my family, screaming at the top of my lungs until my throat was raw. I don't do that anymore. I also used to bounce off the walls and do silly things like pressure-wash my porch for 4 solid hours. I don't do that anymore either.
Of course, it's up to you but I think taking yourself off Lamictal and not substituting another mood stabilizer would be a mistake. Just my two pence worth.
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DX: Bipolar 1
Anxiety
Tardive dyskinesia
Mild cognitive impairment
RX: Celexa 20 mg
Gabapentin 1200 mg
Geodon 40 mg AM, 60 mg PM
Klonopin 0.5 mg PRN
Lamictal 500 mg
Levothyroxine 125 mcg (rx'd for depression)
Trazodone 150 mg
Zyprexa 7.5 mg
Please come visit me @ http://bpnurse.com