Lamictal is a slow starter mainly because you have to titrate up slowly on the medication as there is always the risk of SJS. Lamictal is a mood stablizer but it really only deals with the depressive end of Bipolar and its a background drug so you wont see results quickly.

Due to the half life of Lamical , you must be very med sensitive if one missed dose is that noticable .

Takes times for meds to work, But also when a med is stopped it takes time for your brain to return to functioning without the chemicals.

Based on your med list .. Ablify and Lexapro ? Many Bipolar I people cant take them as it can trigger an ugly mania. Least you got lucky on those.

Gotta love Bipolar and the joy it brings.