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Re: Forgotten Factor - lithium case - thyroid

Posted by Squiggles on January 30, 2006, at 10:15:00

In reply to Re: Forgotten Factor in Counterfeit lithium case *, posted by Squiggles on January 28, 2006, at 18:28:31

I appreciate the attention to this hard
episode i went through, but I would like
to go back to my initial question. I don't
know if anyone can shed some light.

Whether the "bad" lithium batch was old,
low, maybe citrate substrate, or even
counterfeit, the result was that after
4 months (approx.) i became full-flown
bipolar - mania, psychomotor agitation,
rage, suicidal, depression, etc. I was
lucky to get out of it with the fresh
"real" lithium from another pharmacy and
i THINK this proved i am bipolar (my dr.
was never sure). Talk about serendipity.

But my question initially was what happened
to the thyroid? If the lithium went down
to say 0 in 4 months, and the thyroxine
drug was kept constant, what would be the
blood level of thyroxine and it psychiatric
effects? Since lithium suppresses the
thyroid, could I have had a case of thyroid
toxicity mimicking bipolar? Would it take
4 months?

BTW, the symptoms were almost identical to
what I had BEFORE ever taking lithium or
thyroxine 20 yrs. ago, when i was a "virgin"
patient. Could I have had hyperthyroidism
then, mistaken for bipolar disorder?

Is there a way to tell?

Squiggles


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