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Re: CHLOE-Thyroid... » Chloe

Posted by Ritch on October 5, 2002, at 21:40:48

In reply to Re: CHLOE-Thyroid... » Ritch, posted by Chloe on October 5, 2002, at 9:34:02

> > Yeah, go for the Li increase. It seems that it covers your mild psychotic symptoms rather well from what you have said. I'd still check out that TSH stuff... it might help for the rapid cycling....
>
> Oh yeah, I forgot (I forget lots of things these days...:) how effective Li is for me for the distorted thinking stuff. That will definitely come in handy when the ECT is over and those thoughts will envitably come back.
> I do have a 20 min. appointment with my extremely busy pdoc on Monday. I will ask her then for a thyroid work up. But ugh, all I need is to be stuck again with a needle. I am a pin cushion from all the places that IV's have had to be placed for the ECT treatment. I am sooo bruised...
> Do you remember a while back there was some discussion about how to take Li, in one dose or a divided dose. I can't recall what the conclusion of that was. But I am supposed to take all the Li at once at night. And on the night before ECT (once a week for a month), I am supposed to not take it. Then I am instructed to take the Li immediately when I get home. Is there any benefit to taking it only once per day, not twice? Can you refresh my memory?
> Thanks Mitch
> Chloe
> >
>
>

Chloe, Tell her you just need a TSH and free T4 blood check. Maybe they should just send you home with a "port" implanted for the blood tests-(just kidding) :)

Oh yeah, the "all at once" versus divided dose thing. I started off with an "all at once" dosing of lithium of 900mg midday. That changed later to 600mg at bedtime and then 300mg midday. When I went to higher doses it was 900mg lithobid twice daily. Evidently, some pdocs think the all at once dosing (if it doesn't exceed 600-900mg every day)is easier on your kidneys for the long haul. Others think the enhanced stability of blood levels with multiple dosing superior. Ha!, see my memory is no better than yours.

For real though-lithium *will* depress thyroid function to some degree, and depressed thryoid function *does* tend to aggravate rapid-cycling. You *really* might be able to knock out two birds with one stone---lithium to get your thoughts organized without an AP, and a little thyroxine to flatten out your cycling. Of course, everything looks better on paper... But, there are lots of reasons to be optimistic. Take care..Mitch


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