I have been on a combo of lithium and geodon now for the good part of ten years, and a high dose of neurontin was added a while back to treat mania, anxiety and
fibromyalgia. I just dealt with a severe case of cycling
for almost ten months, and this good set of meds could not effectively end my acute mania. I ended up getting the Abilify shot, followed by a few days of a high dose of Seroquel, then I resumed on the above mentioned cocktail of lithium 900 mg, geodon 240 mg, neurotin 1600 mg.