I got nausea when I first started Lithium, if I didn't take it after a small snack...a sandwich, bowl of cereal...anything to get something in your tummy before taking it. I never contributed the nausea to my once pot-and-a-half a day coffee habit, of which I've cut back to 4 cups. I was told I had to practically eliminate my caffeine intake when I was first put on Lithium. Although it was hard to cut out the coffee - don't think I ever will really - I treat myself to a pop (soda) once in a while.

After about 4-5 weeks, the nausea went away, and I am now able to take my morning dose on an empty stomach. I've been on it for over a year now, and it's been a Godsend for me after many tried-and-failed med cocktails.