Good idea asking this!
When I started mine I was shaky but that goes away rather quickly. I found when I upped my dose to the level I needed it it made me feel like a wet piece of drywall. So if you find like the meds are changing your personality or making you sad talk to a doc about changing brands.
All the noises will quite down. You will be able to focus. You will lose your appetite. And might have trouble sleeping. Try to cycle and use meds as needed when starting. I tend to only take meds on days I really need it.