Hello practo user, I will try to outline the management of lithium induced tremor for you- 1. Get serum lithium estimation done, after 12 hours of last lithium dose. With adherence to lithium ensured. 2. Dose of lithium can be adjusted by treating psychiatrist according to lithium levels, and current clinical state. 3. If tremors persist despite adequate levels then Netscape can be increased after due assessment. 4. Rule of other causes of tremor including anxiety which is a common co occurrence with bipolar disorder. 5. Alternative to lithium may be considered, however that can only be done by a psychiatrist who has assessed you in detail. Hope this helps you. Best wishes for your health and future.