Ive been on the hypomanic side lately. My pdoc doubled my trileptal and upped my Rexulti to 4. That started yesterday - the first day of the new doses. I took my morning trileptal around 6:30 and was immediately slowed down. My coffee had an opposite effect. In church choir, facing everyone, my eyes kept closing for a moment. I came home and slept for 3 hours! It had been a beautiful morning downtown by church at Starbucks around 7:00. I'm assuming I get used to this new dose and this side effect goes away.