I take Geodon along with Lamictal, and have for the last 4 years. This combo has worked fairly well through the years. I haven't been clinically depressed in a long time, and my last hospitalization 2 years ago was from taking Nuvigil too long and making me manic. I did just go through a pretty bad manic phase for me (I'm rapid cycling so this was longer than I'm used to), but I didn't really have my pdoc available to help me through it and no med changes.

I agree that you should definitely let your pdoc know what is going on. I found it's very beneficial to keep him in the loop on things, and I also keep in touch with a therapist.