I was on Topamax and then it pooped out, within 2 days I was having massive mood swings. I was put on Lamictal, and within 2 days I was back to a good baseline for moods. I don't know if it was the placebo effect or what. I was on 25mg for 2 weeks, now I'm at 50mg for 2 weeks. Titrating up to 200mg. So far no real big side effects for me. Hope you get relief soon!