It continues to puzzle me as to why doctors don't prescribe Lithium Orotate
Sure, it's not like lithium carbonate. It doesn't cause any sustained increase in serum level. It also is not a prescription.
However, it works, and not just for me. If you read the reviews, you'll see that many people find it helpful for mood swings, anxiety, and depression.
How does it work for me? Well, it makes me less moody. It also prevents mania. I experience the same therapeutic effect that I had from lithium carbonate, minus the side effect of hand tremor.
I recently tried to increase the dose from 4 pills a day to 5. It made me too thirsty, so I reduced it back to 4.
This thirst is the first definitive side effect I've experienced from it. What's interesting about the thirst side effect, is that it didn't happen immediately after taking the pills, but rather much later in the day. So it seems that even though the blood level is not measurable, there is some long lasting effect from the lithium orotate.
Anyway, I'm not advocating Lithium Orotate, but just wondering how come such a seemingly effective medication is ignored by mainstream psychiatry.