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Thanks for your quick response. Last night my heart beat fell to 48 beats per minute. I thought I would go into shock. Is there some drug I can take that will keep my heart beats up to at lest 70 beats per minute? I can suggest this to my doctor next week when I see him. I really like taking the lithium, but the side effects are literally killing me. There must be something I can take to counteract its side effects.