I'm on celexa, geodon, Lamictal and Ativan. It works at the higher dosages. I tried lithium and gained 60 lbs but I know it's the first line of defense for bp1. I could not handle the side effects and it took away my desire to paint. As an artist, creative energy is a must for me. My husband is also bp1 and takes trileptal and celexa. This has worked for him for 7 years and he has been stable....for the most part!