They have injectable forms of some medications where you only have to get a shot every so often rather than taking pills every day. There also might be other meds out there that won't make you feel like you're in a mental fog.
If you're not in therapy, get in therapy. There are ways to learn to cope and to recognize your triggers and the starts of episodes. However, I would recommend a med switch if meds are working for you to control your symptoms aside from the fog you feel like you're in while on Lamotrigene. Not all meds will necessarily make you feel like you're in a "fog" all the time.
Are the side effects worth what the medication is doing for you?
Maybe you could try self help techniques in combination with the medication, and then have it lowered and see if that works better for you. Focusing on living healthy is really important to help minimize symptoms. Do some research and see if you are interested in trying any of the self help techniques and then discuss it with your doctor.
Hey! I truly understand how you feel. I'm 28 and I have been on medication on and off for about 2 years. First it was Zoloft, then devalproex and now lamotrigine. Once I started medication I felt like I was loosing myself so I would stop. I felt awesome, I felt great and I felt happy. Problem was that I felt too happy. Things were great with the wife and kids until it got out of hand. My manic symptoms cause me to become compulsive and I tend to spend all the money, go on trips have a great time because I feel awesome. My wife would go along because after dealing with me for a while in my down time, she would just enjoy the moment until I would crash. I would cry, be anxious, depressed and overall i felt guilty when we were broke. I realized that I could do many things to help control my symptoms without medication such as exercise, owning a pet you can walk, schedualing visits from family and friends so even if you dont feel like having company, you are forced to do so and it kind of helps you to get out of the slump. but overall,medications will be part of our lives for a long time. I know this sounds bad but it is not. I realize that when I am on meds, even though I feel like I am always neutral, I can function better and make better controled decisions, which is important when you are married and have kids. I enjoy myself with things I know I like even if I fell i don't. You have to realize that our biggest battle will always be against ourselves and that it is a daily struggle. But you have to also look at the bright side. Being bi-polar makes us creative. I find great satisfaction on my high levels of intellectual brightness and use my creativity and brightness to inspire others and help those around me. I currently have a small mission in Puerto Rico were I work in a community stuck very hard by poverty. Find your passion, and the medication will only be a backdrop of who you are!
By the way Im on 250 ml of Lamotrigine and on Abilify. I was also taking risperidon.