Hi everyone,

I know I don't come around much any more.

I was started on Lithium again about 2 weeks ago. This time I really glad because I felt horrible and I didn't realize how horrible I felt. I feel a lot better.

Right now I'm on 300 mg. I know that's a low dose but I'm extremely sensitive to medicines and also very allergic and have horrible reactions to lots of medicines, chemicals, and even foods.

Anyway, I'm allowed to titrate up to 600 mg. I took 600 mg last Sunday and felt terrible, just feeling loopy and out of it. I took it 12 hours away from my first dose as instructed. So, I went back to 300 mg the next day.

The thing is, I'm having a lot of irritation in the evening. I have dysphoric mania so irritation and intense anger is pretty common, it's what I need relief from. I'm so much better during the day, but around 4:00 p.m. I start to get irritated again.

I see my doctor at the end of the week, but until then I'm wondering if anyone else notices this happening? I'm wondering if I need to take my 2nd dose at around 4:00 p.m. (my first dose I take at about 7:30 a.m.)

I really like the nice calm wall I get that keeps my emotions in check and I don't like getting irritated in the evening. I'm also worried about increasing since it makes me feel terrible.