It really depends on your type of bipolar bipolar 2 with more depressive symptoms do very well on lamicatal, but research is showing that is doen't help as much to prevent mania. Trileptal is a related to tegratol, one of the best mood stabilizers, but it has a lot of drug interactions and problems with birth control pills. Trileptal has none of those bothers, and fewer side effects than any of the other drugs for bipolar patients. It does not stop an episode (except for zyperxa, risperdal, and lithium, none stop episodes) but is effective at preventing both depression and mania. It does sometime lower sodium levels so that must be monitored. For people whose illness is serious both lamictal and trileptal are considered only as add-ons for lithium (which is dose monitored patient to patient) or zyprexa (for zyprexa to be a mood stabilizer a 10mg-30mg range must be maintained.) Trilifon (an older antipsychotic) is another choice, depending on the feature of your illness, but it one of three safe drugs for pregnancy. Risperdal is more like the serequel you have been used to, it has fewer side effcts and can be used to stop an episode of either mania or even psychotic depression unlike the others. If you have trobule sleeping on risperdal, even though some feel tired from it, desryl is the best choice for sleep. It is an old anti-depressant mainly used for sleep because of its ineffective nature in treatment. Sometimes it is combined with a blood pressure med clonodine. They both work fast, but are out of your body by morning and you don't build tolerance to to either.