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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by brynb on November 7, 2012, at 13:49:20
Sorry if I'm redundant, but I'm making some med changes and want to be prepared when I see my pdoc tomorrow. (Our visits are 30 minutes long and despite thinking I'm prepared when I see him, I always forget to address something important.)
My goal is to be on a simple, streamlined med regimen while tackling my depression and anxiety (which is not well controlled at the moment). I'm on 450 mg of lithium nightly. I started at 300 mg. I don't think the dose increase helped my mood, and if anything, it's given me some unsavory cognitive side effects. Can someone help clarify the effects of different doses? It's my understanding that lower doses act as an antidepressant and higher ones are mood stabilizers. Is there much of a difference between 300 and 450? Is it possible to receive any mood stabilizing effects at 300 mg?
Thanks,
b
Posted by phillipa on November 7, 2012, at 14:43:58
In reply to Lithium dosage, posted by brynb on November 7, 2012, at 13:49:20
Bryn wow complicated question. Think you are right about the lower doses though. Phillipa
Posted by Christ_empowered on November 7, 2012, at 20:19:04
In reply to Re: Lithium dosage » brynb, posted by phillipa on November 7, 2012, at 14:43:58
Unless you're flying off the handle, I'd think lower=better, especially for depression. Just try to talk the pdoc into going back down to 300 and explain your reasons. I personally wouldn't tolerate drug induced stupidity unless there was no other option. If 300 worked at least as well w/o the stupids, then you should go to 300.
This might present a good opportunity to talk to your doc about his treatment goals for you. Maybe he sensed some agitation, hypomania? Maybe he just thought 450 was better, somehow? Talk it out. You've got 30 minutes, after all.
Posted by brynb on November 8, 2012, at 20:42:38
In reply to Re: Lithium dosage, posted by Christ_empowered on November 7, 2012, at 20:19:04
Thanks for the input. We went back down to 300 mg as it was much better for me.
Thanks again,
b
Posted by Phillipa on November 8, 2012, at 21:15:07
In reply to Re: Lithium dosage, posted by brynb on November 8, 2012, at 20:42:38
Bryn that is good news. Phillipa
This is the end of the thread.
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