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I've a bipolar 2 diagnosis and am currently on low levels of lexapro,
wellbutrin, and trileptal. The cocktail has abated the major up/down
mood swings but I'm still really blah and unmotivated. So...my pdoc
and I are looking at switching the trileptal to lamictal. Any
thoughts?

I have the same diagnosis as you. I was given Fluoxetine 20mg
tablets. In two months they brought me round to a more cheery
disposition. No nausea and a bit more energy. However, even missing
a single dose can knock you back a bit.
Hope this helps.
James Forsyth