I just started adderall 30 mgs; already on a cocktail of other meds lamictal 100 mgs, effexor 75 mgs (titrating up), lithium 50 mgs titrating down and trileptal 75 mgs (titrating down). I love the way it helps my cognitive thinking; I actually feel human, sort of. The other half of the story is the extreme anxiety it causes; from the moment I started it I have extrreme nausea all day and nothing I have taken has helped it, I have been not able to sit down for more than 10 minutes, no sleep at all, when trying to sleep I can't stop playing with my tongue moving it around in my mouth, I constantly have to swallow, I am a social smoker very infrequently; the first day I smoked a half of pack and had extreme cravings for alcohol. Are these extreme effects normal?