I agree with the previous posts.
Alas, I also have to report a very bad reaction to Lithium much the same as Miss Seaneen.
I am now on Depakote , with no real side effects.
Depakote
has cured my hypo-mania, but does nothing for my depression.
As far as alternatives are concerned, I found that Lamotrigine ( and especially Carbomazepine ) made me more agitated.
I now take Depakote for Hypo-mania, Seroquel for agitation and sleep problems, Moclobemide as my permitted anti-depressant and valium when required for anxiety states, which are by now a regular feature, especially in the earlier parts of the day.
However, I am now finding the Moclobemide is not really fulfilling the anti-depressant role effectively - which is a shame, as it had no side effects.
I may therefore have to try another anti-depressant in September, - as I have found over the last 30 + years -that when the anti-depressant is working well, the anxiety and requirement to take valium largely disappears.
I hope your reaction to Lithium proves better than mine, as I also have known people tolerate it well after an initial 'bedding in'.
F.F.