<s>[INST] I am 35yo and have suffered from bipolar 2 my whole life. For the last 5 years i have been put on several mood stabilizers and had bad reactions to most and one that stopped working at highest dose for my weight (126lbs) I just started lithium 72 hours ago @300mg 2x day. Everytime I take it I vomitt even when taking it after a meal. Also it is hard to swallow after taking it and I get itching in the throat and in the ears when I take it. I also have difficulty focusing for abput 3 hours after I take it and cannot even walk around the house without losing ballance. I have had allergic reactions to depakote and lamictal that started this same way. Is it possible I could be showing hypersensitivity to the lithium carbonate this early? The symptoms do seem to subside some if I take a bennadryl. [/INST] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes the adverse effects can come this early and can come with the first dose as well. You need to shift the medications. You have mentioned that you have not tolerated valproates and capital. That keeps you an option of carbamazepine and oxcarbamazepine. Also, an option of quetiapine is also good as a mood stabilizer and antipsychotic. You may discuss these options with your psychiatrist and can consider switching the Chat Doctor.  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ </s>