Geodon turned out to be not enough for me to control my mania, even at 160 mg per day (80 mg in morn and 80 mg at dinner). I had to also take a second antipsychotic with it on top of my Tegretol XR. Geodon was side effect friendly for me for years until the 5.5 year mark when I started to suffer from nasty akathisia. I was eventually taken off Geodon and my Seroquel XR raised. I'm doing great now.