Posted by Twinleaf on January 21, 2013, at 14:09:36
In reply to Does lithium reduce motivation and activity level?, posted by SLS on January 21, 2013, at 13:30:53
Scott, I 'm sorry that I don't know about the effects of lithium. But I wanted to answer anyway, as I have had the same difficulty even when the depression got much better. My pdoc thinks that too- rapid metabolism of dopamine in the pre-frontal areas is responsible for the lack of motivation. We are trying low-dose Risperdal (and keeping up the tianeptine) because both of them allow dopamine to remain longer. I honestly don't feel I have completely resolved the problem, but it is at least 50% better.
We gave Latuda a trial, as he thinks highly of it, and I had a rare paradoxical reaction with real agitation! For now, we are adjusting the dosages slightly (low always) and using l- theanine for associated anxiety ( works well!)
poster:Twinleaf
thread:1035977
URL: http://www.dr-bob.org/babble/20130112/msgs/1035981.html