I am taking lamectal too..just increased from 150 mg to 175...also lithium at the max there...and clonidine for mania.. I do rapid cycle and often have mixed states.My P-doc diagnosed me. I did mention the bi-polar ness when he said he was giving me the new med. He wants me to try it and come back in 2 weeks... we will see...thanks so much for caring. it is wonderful to be understood. I am also afraid I will need to leave my job, I don't know if I can do it, but we can't aford for me to quit....in a pinch there..Confused and frustrated and so sad.. hope this med works.