The Ensam patches are made in 6, 9, and 12mg doses. I did fine until I got up to the 12mg dose. At that point my blood pressure bottomed out and I kept passing out. Not fun. One of the more serious side effect issues with Ensam is blood pressure issues (usually high, not low), so my Pdoc didn't feel comfortable keeping me on it. I wasn't on it long enough to have much experience with the diet changes.

The lithium is a pretty standard dose. You'll probably get very thirsty, drink a lot of liquids, and then go to the restroom a lot. You'll get used to that. The only other issue I had with lithium was hand tremors. They were pretty aggravating, but again, you get used to it after awhile. I don't have the tremors anymore. Sometimes they go away with time, but not always.