Posted by SLS on March 17, 2012, at 21:51:49
In reply to Re: To SLS: lithium question please » Roslynn, posted by phidippus on March 17, 2012, at 21:06:10
> You lowered your Lithium too much and have raised your Anafranil to a therapeutic level. The increased irritability/mixed mood are symptoms of your bipolar disorder. I would go back up on the Lithium.
It might be important to ascertain why lithium was chosen as a treatment in the first place and why its dosage was subsequently reduced. In the absence of undesirable side effects, toxicity, or serotonin syndrome, returning to the higher dosage of lithium seems logical.
> I was able to sustain 150 mg of Anafranil while taking 1200 mg of Lithium. I also took Invega to further stabilize my mood.So, you are bipolar and OCD? I apologize for not remembering this.
My only other comment at this point is that 75 mg of clomipramine might not be therapeutic. If it is tolerated at 75 mg and it does not produce a therapeutic response, I think it would be reasonable to continue titrating up to 150 mg. The waiting is the hardest part.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1013292
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