"i&#039;ve been on this medicine for 2 weeks now. i haven&#039;t really noticed a change in moods just yet. i guess because i&#039;m taking celexa and elavil too. we&#039;re weaning me off elavil. but i have surely felt the side effects. i&#039;ve got some slight tremors in my hands, cotton mouth worse than ever, and my heart races at times. but my appetite has decreased since i&#039;ve been on it. before adding lithium, elavil made me feel good, but put 20lbs on me in 2 months. that&#039;s why i&#039;m coming off it. i just had my blood drawn to check my salt levels, so we shall see how that turns out. i was diagnosed bipolar in early 2003 and have been off and on just about everything for it. so my new doctor put me on lithium to help me. i&#039;m glad i read about the side effects others have posted."