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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Jeroen on April 7, 2013, at 17:59:54
sais. is this true?
Posted by Phillipa on April 7, 2013, at 18:23:08
In reply to doc saia only high dose lithium works....., posted by Jeroen on April 7, 2013, at 17:59:54
Jeroen does he feel you are bipolar? Phillipa
Posted by Phil on April 7, 2013, at 20:21:14
In reply to Re: doc saia only high dose lithium works..... » Jeroen, posted by Phillipa on April 7, 2013, at 18:23:08
I'm at 900 mg, it works.
Posted by Phillipa on April 7, 2013, at 21:38:20
In reply to Re: doc saia only high dose lithium works..... » Phillipa, posted by Phil on April 7, 2013, at 20:21:14
Phil great!!!! Phillipa
Posted by SLS on April 8, 2013, at 7:08:22
In reply to doc saia only high dose lithium works....., posted by Jeroen on April 7, 2013, at 17:59:54
> sais. is this true?
It depends upon what illness you are treating.
- Scott
Posted by vanvog on April 8, 2013, at 23:12:13
In reply to doc saia only high dose lithium works....., posted by Jeroen on April 7, 2013, at 17:59:54
Lithium is all about your blood serum levels. The sweet spot is somewhere between 0.6 and 1.2. Good doctors will take into consideration your age, weight, previous history with medications (if any), and just how freakin manic you are at the time to determine where to start you. Lazy doctors will start you at 900mg a day if youre mildly crazy and 1800mg a day if youre climbing the walls.
Unless you or your family member has utterly lost it with mania, Im for starting out at 450mg a day for controlled-release versions (Eskalith CR, Lithobid, Duralith, etc.), 300mg a day for immediate release. That is highly unlikely to get you near the therapeutic level of 0.6, but it does allow you to acclimate to the lithium. After a week you get a blood level and you see where you need to go. Probably up, but you never know.
This is the end of the thread.
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