Posted by SLS on June 10, 2015, at 15:52:30
In reply to Re: CBT vs Seroquel or Abilify or Latuda » SLS, posted by legm82 on June 10, 2015, at 11:08:03
> > Your reluctance to take lithium is understandable. It is a drug with a narrow therapeutic index (the range of dosages that helps without hurting). Some researchers think lithium should be used first. I think it depends on the type of bipolar disorder being treated. At 300 mg/day, I experience absolutely no tremors. The dosage is too low. I start getting tremors at 900 mg/day. I have taken as much as 1500 mg/day during a period of mania. It seems to me that most people using lithium as a mood stabilizer (prevents both mania and depression) end up at 1200 mg/day.
> I have appointment with my pdoc tomorrow, I will tell him about Low Dose Lithium to improve my bipolar depression, do you take it at night?
Because I take lithium carbonate, which is the inexpensive version of lithium, I take it twice a day. There are controlled-release versions like Lithobid that you only have to take once a day. I need to take other medication three times a day anyway, so I have no issue with divided dosing.
> What do you suggest me to talk with my pdoc regarding the Lithium?
I would ask him if he has had any patients do well when low-dose lithium was added to an antidepressant. You can also ask him how many of his patients had to discontinue lithium because of renal or thyroid toxicity.
> I have another concern, the Lithium will not help to combat my insomnia, it will remain uncovered.
> Do you have any suggestions? Last night I took Seroquel 25mg and it helped me with sleep but caused me to have asthma.Have you been diagnosed as having asthma in the past? What are your symptoms when you take Seroquel?
Do you have trouble falling asleep? Do you have trouble staying asleep? What time of day is your depression at its worst?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1079546
URL: http://www.dr-bob.org/babble/20150520/msgs/1079613.html