My understanding of Lamictal, is that it mostlly helps treat depression, as an adjunctive treatment. It can be tried alone for this purpose for those who can't take an antidepressant.

It's also supposed to (per its indications) "lengthen time between cycles" overall. When I was on it (along with other drugs), my cycles which were then rapid did seem to slow, but that may simply have been a long-term result of my other meds controlling acute swings. I was taking 200 mg a day, but with Depakote which doubles Lamictal levels by competive binding, so it is like taking 400 mg a day -- what your pdoc is suggesting. When I stopped taking it, I noticed no difference in moods or mood swings. No deterioration of any kind. Nothing.

As Mari pointed out, it just seems to be a "fluffy" sort of drug which doesn't reliably do any one specific thing by itself, but might have some beneficial mood effect on some people in conjunction with other drugs.

As such, I can't rule out that for certain individuals it might possibly help with mania, but it would be near the bottom of my list of choices as an add on for someone running high. Some people even find it a bit activating. In your case I'd think of increasing or changing the geodon, or augmenting it with a small amount of another, more reliable anti-manic agent.

Exactly what you are doing, with adding more fat when you take it will somewhat increase the amount of Geodon absorbed and might do the trick for you.

I am glad you are feeling better.
waves