I am so tired at the moment. I'm not sure whether it is the lithium that I am taking? I feel so tired and go to bed at 11pm sometimes a lot earlier and sleep to about 5am. The pain in my shoulder still wakes me up at about 5am. I don't sleep very well but that is becoming a normal pattern for me. I have been working a lot during the week and Saturday as well. I try to catch up on the days I have off. I have just had my lithium levels (bloods) done so it will be interesting to see what these are. Do any other lithium takers have increased tiredness? EJ