"i&#039;ve been using lamictal for over five years, sometimes with other medicines but mostly by itself.  i&#039;ve been at most dosage levels at one time or another up to 800mg near the beginning of my treatment.  everything always comes back to lamictal alone.  i recently got switched to the generic, lamotrigine, and i like it better than the brand.  everything is a bit &quot;milder&quot; with lamotrigine, including the side effects."