I live on Lithium alone! After my disastrous first manic episode in late 2010 I was initially put on Seroquel and Lamotrigine, but both caused horrible rash all over my skin, so I had to be taken off them. My doctor was at a loss on what to do with me, since I showed unusual sensitivity to medication. He decided to try Lithium alone in Summer 2011, but I knew he didn't have high hopes of success.

And now, at the end of 2012, I am completely stable on 750 ml. I had no mood episodes whatsoever in the last year and a half. I know I was extremely lucky, and I am very grateful that other drugs gave me VISIBLE side effects, so no one could blame it on my head being backwards. If not for that, I would be taking three drugs instead of one now, even though one is enough!

But I know it's definitely not the case for everyone. My doctor tells me at each appointment how surprised he is with my case and how uncommon it is for someone who showed severe bp symptoms to recover without APs. So please don't take my post as an endorsement of ditching AP without doctor's OK.

Last little note on the sex drive. Lithium annihilated mine! But I like it! I was way hypersexual before it (when manic/hypo) and it was very uncomfortable. I can enjoy sex now, so there is no impairment in that field, but I don't need it all the time as I did before.

Hope it helps.