Lithium had way to many side effects for me to stay on it. My new pdoc asked me if I would be willing to try it again, I replied no way.

I would be getting a second opinion on the need for lithium, especially since you are already on Lactimal/Lamotrigine. You maybe able to up the dosage, (I think 600mg was the upper "normal" limit according to my pdoc) or try something else. As for me, my experience with lithium was not a positive one

All the best. I hope you can find the right combination that works[emoji6]