Over the last year we have tried getting the dose right for Zeldox, which I believes goes by Giideon in the US.
Due the I'm ridiculously sensitive to medication I usual take less and are affected by the side effect more. When we started this whole game we went from 40mg all the way to 80 mg(still a small dose for most). The 80mg wrecked me with in days I was tired that I could barely function. Dropped down to taking 60mg once a day and all though better I was tired more often then not and my evening basically ended an hour after I took my dose. Now during this time my mental health although tired started improve. I was rational more often then not and less aggressive and on a plus side it slowed the million thoughts going on in my head.
A few months in the tiredness and full body exhaustion become to much so we decided to see what would happen if lower back to 40 lmg and increase my lithium by 150. Seemed like it was going alright but by the end of the summervi was feeling a little squirrelly again.
Next step started 3 weeks ago. 20mg in the am and 40 mg at night. So all the good things have come back, less anxious and angry and I'm more rational and happy. But my body wasn't tricked by the split of dosages. Now I'm tired 2 hours into my day and come about 1-2hours after NY night pills I'm exhausted and not like oh I didn't sleep enough exhaustion its of a hitting a wall and not being able to think clearly and have no energy.

So I'm stuck weighing the pros and con's on if I should deal with the tiredness or pure exhaustion or if I talk to the pdoc next week.
I don't want to change medications again because it feels like I've tried them all and the process sucks but I hate the ****** side affects of a drug that does more or less work.

Sorry this was a bit of a vent, just needed to get it off my chest.