My pdoc just gives me a pity face when i complain of what the mwds are doing to me. We're supposed to discuss changing from lithium but i think she mentioned tegretol which i read here is horrid too! Ive had that for migraines as an injection and it worked but that's once every so often, not every day. If taking it for bipolar would then make it ineffective for bad migraines.... I'm about ready to wean myself off lithium and levoxyl and exercise more easily, get my metabolism normal and leave this mess behind. Sounds health to me, but if I said that to my pdoc she'd think I was going manic.