When I was on 750mg of Lithium, levels round 0.5, I had a massive manic episode. It was ramped up to 1500mg and it subsided. Now I am on 1000mg and have been a little hypo but not manic. I still get mixed episodes on this dose though and 1500mg was making me toxic.

I rarely get manic episodes anyway. Only had two big ones before I was on Litium and one while on it. The Lithium was more for calming me down and getting rid of impulsivity, rage, suicide attempts and mood swings. It has really worked for those things most of the time.I have been on it for five years. The side effects are mild for me. I hardly get tremors (except on really high dosages) and only find I need to drink a lot of water. I don't feel numbed at all but my thyroid levels are off so I have to take medication for that. Would love to come off it but both T and pdoc are against it and say it has made a big difference to me.