"i&#039;ve been on lithium for over four years. i enjoy the stability it gave me and i haven&#039;t had a manic episode since starting lithium. my problem is dehydration. i avoid water and choose flavored beverages to cover up that metallic taste. my lithium level is always high as a result. forcing yourself to drink water just causes you to have to use the bathroom ever 15 minutes so i live with thirst. the hand tremor is the worst side effect by far, i take a medication just to treat that alone."