The side effects I got on lithium were shaky hands and excessive thirst. I didn't get tired on it but still had to take it at night because of the blood tests.
It did help with my highs but had no affect on low mood. I still got sectioned for low mood on 1200mg
Honesty you sound a little over medicated to me. When i was over medicated I was in a worse state. It's sounds like you need to talk to your doc about how adding lithium would help if the other meds are not preventing relapse.
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