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Re: considering switching depakote to lithium?

Posted by SLS on October 8, 2001, at 14:16:52

In reply to Re: considering switching depakote to lithium?, posted by Squiggles on October 8, 2001, at 12:47:04

> > Hi Squiggles,
> > I would be suprised if they did not have the ER formula in Canada. But of course I have no idea living in the states. But when you have to renew your script, perhaps you should ask you doc then. Can't hurt!
> >
> > Now you are quite a veteren of lithium. May I ask, do you ever experience any internal pulsing or a caffeinated feeling (without caffeine)? I feel this energized throbbing in my body, and I just can't seem to find anyone else on Li who experiences this. Do you have any insight on this?
> > Thanks,
> > Chloe
> Chloe please excuse me, I did not reload the
> messages on Dr. Bob's site and just saw your
> question:
> Coffee consumption does have an effect on lithium.
> If I remember correctly, coffee consumption
> increases Li levels, here is a link:


I think it's the other way around.

Generally speaking, one can drink caffeinated beverages as long as the intake remains the same on a daily basis. If you establish your therapeutic blood levels while drinking 10 cups of coffee a day, then they should remain the same as long as you continue to drink the same 10 cups a day. I you were to reduce this to 2 cups a day, the blood-level of lithium would rise, necessitating a reduction in dosagee. I guess caffeine makes you piss out lithium quicker.

- Scott




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