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Re: To SLS: lithium question please » Roslynn

Posted by SLS on March 17, 2012, at 13:01:17

In reply to To SLS: lithium question please, posted by Roslynn on March 17, 2012, at 9:02:05

Hi Roslynn.

> Just have a question..I had reduced my lithium from 600mg to 300mg, about 3 or 4 weeks ago. At the same time, I am increasing my anafranil and I am on day 6 of my increase from 50mg to 75mg. I am feeling irritable w/a somewhat lower mood, less energy and wanting to sleep more. How do I know if this is maybe a "rebound" and my body adjusting to the lower lithium, or am I starting to relapse? Thank you for any thoughts on this.

My initial reaction is to say that you are not experiencing a rebound depression due to a decrease in lithium dosage. Too much time has passed since you made the change. It is possible that you are experiencing side effects from the increase in Anafranil dosage. Unfortunately, it would be difficult to be certain that you are not relapsing at this juncture. You should have a better idea during this next week as you might see a more obvious trend in how you are feeling. It does resemble relapse, but give things a bit more time. You might need to increase the lithium or perhaps look to Lamictal as an augmenter to treat depression. Are you experiencing more anxiety than usual?

What is your diagnosis?

How did you come upon being treated with lithium?

What was your maximum dosage of lithium?

In what ways did lithium help you?

Why did you reduce the dosage of lithium?

What dosage of Anafranil does your doctor plan to make the target?


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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