Thank you, I have extreme bipolar disorder, but have a number of previous injuries that I cannot treat nor want to treat wth opioids. Butalbital w Aspirin and Caffeine helps an extreme case to TMJ - can t afford bite plate - but stops they near migraines and cracked teeth. I also take Soma due to other injuries which cause extreme muscle cramping. I ve been a human guinea pig since the 90s and am finally consider oral lithium because it doesn t have talc, silicone and who knows what non-ingestable ingredients. i am running out of time, sanity, money, can t sleep, can t eat, can t function see intake person for out patient counseling today and see internist/pain mgt md monthly. What do you think?