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Re:Lithium/thyroid+neuropathic pain? » Chloe

Posted by Mitch on November 19, 2001, at 9:39:05

In reply to Re:Lithium/thyroid » Mitch, posted by Chloe on November 18, 2001, at 21:24:13

> Mitch
> I think normal TSH is .6-5.5. So I am well within normal range.
>
> I stopped the Li last night after titrating down, and I feel horrible. So depressed (teary and all I want to do is sleep) and unstable. But my hair pain is slightly better. Better hair, worse mood.
>
> My dad was saying I should try Vioxx or some med to stop the pain on my scalp instead of d/c the Li. But I can't get a hold of my pdoc. And I don't want to add anymore meds. Especailly when I haven't found things like Aleve very helpful.
> I think increasing the neurontin has helped a little with the nerve pain, thouogh. I find I am sleeping better and not waking up to my aching hair follicles...
>
> BTW, I take a B complex, E, multivit, and 3g fish oil for my head and hair! That is what's left of my thinning hair :(
>
> Glad you got your Wellbutrin and having relative success with it so far.
> Chloe

Chloe,

I mentioned 2.0 being the "top" side of the TSH level but failed to explain why. I was on an "official" endocrinology site, and it is true much higher TSH values were used in the past to "call" hypothyroidism. It is now recommended that endocrinologists treat people whose TSH levels are now between 2.0 and the older threshold of 5.5 you mentioned. Sorry, I don't have the link.
I wonder if your hair follicle pain is some sort of neuropathic type pain. That should respond well to Neurontin. You also were on Tegretol in the past and it should have helped, too (maybe add back the TEG at a lower dose that doesn't get your guts churning?). I also think TCA's are used for that as well. BTW, SSRI meds tend to *aggravate* pain for me. I have some arthritis in my right ankle. Well, when I am on higher doses of SSRI, I almost limp when I walk at times it is so painful (arthralgia). Zoloft and Prozac both cause fairly nasty lower back pain as well. Celexa for some reason seems to spark pain in the tendons for the striatal muscles in my neck. I don't know which TCA is used the most for neuropathic pain-I think amitriptyline?? Well, there are a few more options to think about.
Hope this helps,

Mitch


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