I remember when I was in the hospital & my pdoc still wasn't even sure what to dx me with. He actually tried lithium. My hands shook so bad I couldn't even hold a glass of water. I refused to take it after that first dose. Can't remember if I had nausea also as that overshadowed any other side effects I might have had. That was almost 21 years ago & memory not that clear about that time in my life but I do remember the horrible shaking