Lithium is the last drug of choice because of its side effects and near toxicity for therapeutic levels. That's why it has to be monitored.
Long term severe shakes are common. My brother has this and can barely write anymore.
The idea of Lithium in the tap water is NOT A GOOD IDEA.
Oh, come on. Where’s your spirit of adventure? How about if we also add some Prozac? Will you at least try it?