"been on this med for 3 yrs  &amp; generally have had a good experience. i&#039;ve been on multiple antidepressants over the years, but found they increased my irritability. my favorite was zoloft, but gained 40 pounds in 2 yrs. a dr. put me on lamictal &amp; kept increasing the dose. total nightmare. extreme depression, anxiety increased &amp; felt mania for the first time ever.  my current dr. switched me to trileptal. complete blessing to sleep again. the toss up? going from feeling like i was on a pot of coffee to a bottle of wine. had slurred speech &amp; foggy head. my job requires me to speak in front of groups &amp; taking in the am was bad. solution? small dose of lamictal (25 mg) in the am (gets me up) &amp; trileptal (300 mg) at night for sleep. been working!"