I thought Lamictal wasn't working for me at doses of 200-300mg. In my recent hospitalisation my Lamictal was bumped up to 400mg. It now seems to be helping by calming my rapid cycling. It still happens but each up and down are less severe and don't last as long. Some people do well on much lower doses though.

However, Geodon was added in a high dose at the same time so it could be that. I was extremely ill with a mixed psychotic episode and the med changes snapped me out quickly. Due to the severity of the episode I am now on the max dose of my main three meds. I don't mind as I am experiencing relative stability that I have never had before. Also, I have no side effects apart from minor tremors from the Lithium.