Thank you all for the welcome and for the input.
I did go to the appointment and I start Lamictal tomorrow and stay on Topomax for 4 weeks at the same dosage to watch for the lamictal rash. I think Topomax while a good mood stabalizer for me has been making me very cloudy/slow mentally. The doctor agrees. I've just entered a very demanding educational program and I can't afford to be cloudy or slow. (I just love that emoticon and wanted an excuse to use it!) I am bpII so this may work.
So this is the first time I've changed my meds in a long time and I'm coming up on a 3 week break to do the start and am changing my schedule so I am not taking on courses that are too challenging (meaning difficult for me conceptually) while this change is in process.
I think this is all a good plan. Thank you all so much for your help and replies to my SOS.
Maria