I am being started gradually on it too. At first it was 25mg every OTHER day for 2 weeks. Then 25mg every day for 2 weeks. I have just started taking 50mg every day for 2 weeks and will then see my pdoc again on the 12th. As you can see in my signature that I'm on many other meds too. My pdoc initially took me off of my Lexapro when she started me on the Lamictal, but I went on a horrible crying spell so she put me back on it. I guess I don't have enough Lamictal in my system yet to help with the depression part. Hope things go well for you. I'm glad to hear so many good things about it!!