I'm getting ready to get back on celexa which helped with PMDD years ago, but my new Psychiatrist wants me to take lamictal with it. Should I take it at night? Everything seems to make me tired. I am 50 years old and also had a partial hysterectomy in October 2020 so I know I'm hormonal. I also know I've had depression and anxiety my whole life and have taken other antidepressants that didn't help.