I am on Lithium, which dulls my sexuality. Nothing horrible (I basically would turn asexual on Geodon, Risperdal, and Topamax, so it is my Achilles' heel in psychpharmacology - sexuality), but, it was better completely off meds. I take 900 mg. One option is to try a lower dose. Another option is to try another MS. Depakote caused tens of lbs of weight gain and hand tremor so severe that I lost interviews and teacher auditions for which I was perfectly prepared, but the marker would tremble in my hand at the whiteboard. Who knows what my interviewers thought of me (too anxious? On drugs?) but I didn't get offers. Recently I very easily won a teacher audition, so I know how much poise and confidence matter, and with a severe tremor, forget about poise and confidence. So Depakote is out.

Lamictal was like a sugar pill - no effects and no side effects.

I refuse to take AP's on a regular basis.

That pretty much leaves me with Tegretol, so I am soliciting feedback, especially on how well it protects from climbing too high in elevated mood and what it does to sexuality.

Trippin, I recall that XR is better, right?