Yes in general its a very good option with fewer side effects than other common mood stabilizers so it all depends.
I have been on Lamictal for 5-6 years. I started taking it when it was first approved for bipolar. I have had no side effects from Lamictal. I take 200mg twice a day. I have been taking medicines for Bipolar since I was diagnosed in 1990 and all gave me some pretty bad side effects except Lamictal. When I switched from valporic acid to Lamictal all my side effects disappeared with in a couple of weeks. Lamictal is now available in generic.
I just posted a question regaurding the same thing! I'm taking the lowest dose of it (25mg) and I have felt manic since day 1. But it's not suppose to work that fast so I'm not sure if its just keeping me in that phase or if I havent given the lithium enough time to work (doc prescribed that to level me out). I do love it though!! But curious why do you ask? Did that happen to you from the lamictal?
Hi..... I tried to introduce lamictal twice into my system both times around day 8 of 25mg. I developed puffiness inside my top lip. But I loved the med itself. I am extreamly med sensitive but by the 5th day I had some concerns about how I was feeling eleveted, I could not conceive going to a higher dose. Needless to say I can't take it and I am very disappointed about this.
At higher doses it can happen on occassion. As for the others cognitive confusion is a lot less a problem that other standard mood stabilizers. Sedation also a lot less of a problem. I think you know about the potential of a rare rash and that is 1 in a thousand and goes down to far less than that after 6 months. Basically, its not something to be highly concerned about but report any rash to your doctor. However, it is essential to follow the titration schedule for raising it for that reason. It will take a while to build up to a proper dose so in the meantime if you feel manic something else could be added. There are no required bloodtests but when I was on it a once a year bloodtest for liver function was suggested so I got it. Lamictal is more effective on depression than mania but many mood stabilizers have a trade off one way or the other except for lithium but that's the only mood stabilizer originally developed as a mood stabilizer first. However, Lamictal is FDA approved as a first line mood stabilizer and has somewhat of an antipsychotic effect as well. See how it works out.