hmmmm
definitely start low/go slow--that should be a no brainer for your dr, they should have a starter pack with 5 weeks of titration for you (note to you--read the directions on how to get it out of the pkg-it doesnt just slide out, lol!)
ask what the dr expects to be the target dose--obviously you dont know for sure what will work, but it will give you an idea of how long it should take to get there (we increased dosage every 2 weeks.).
this could just be us, but initially we saw a lot of "over emotionality"...at the low doses it was so much of a roller coaster that i strongly considered giving up, but it did level itself out. i dont believe its a noted SE, and i even asked about it here...i'm pretty sure we were the only ones that it happened to, but it did.
only notable SE i see is an increase in acne. maybe a teeny increase in anxiety. hard to really tell if either are related to the lamictal or hormones or the fall slide, but it seems tied in in my opinion.
otherwise, its been a good choice for us--mine is definitely more level, and seems to be somewhat less meltdown prone (i did not really say that outloud, just in case!!). she is at the 200mg dose and i think will probably stay there for now--our next project is to wean her off, or at least down, on abilify.
in the world of pdrugs, lamictal is a good one as far as i can see so far....hope yours gets some benefit from it too!