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Choice of a mood stabilizer + BDZs ? Lithium ?

Posted by jimmygold70 on August 31, 2001, at 14:56:27

First, I would like to say that I take Risperdal, Ixel (similar to Effexor?). Both are used to treat my symptoms of BPD (Borderline Personality Disorder) and dysthimia. Both are better on this combination, but still my affect is not stable and dysthimic.

Now, to make things more complex, I use Xanax or Klonopin on an as-needed basis for anxiety.

So my PDoc added Depakote. I did notice some (but not overwhelming) improvement, but this made me so badly sedated when I use benzodiazepines.

He changed it now to Tegretol, since he thinks that it is less sedating when combined with BDZs. I think it's about the same, and has its own side effects. Yes, I feel more stable, but I still look sad (dysthimic affect).

Now, we're left with lithium. I fear the irreversible side effect with the incapacity of the kidneys to concentrate urine. I like to drink (water) a lot and I urinate a lot, so I fear lithium will make it worse.

1) Is that true? Is it possible that Lithium will make me a very frequent toilet user for the rest of my life?
2) Is it really much better than Tegretol when used with BDZs? I mean - can I stay awake and concentrated while taking both?
3) Is it really more likely than Tegretol to make my dysthimic affect any happier?

Please don't offer any newer mood stabilizer, since my PDoc is very skeptical about them.

Thanks,
Jimmy


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poster:jimmygold70 thread:77092
URL: http://www.dr-bob.org/babble/20010828/msgs/77092.html