Posted by ed_uk on January 20, 2006, at 13:53:49
In reply to Re: Depressed/agitated/wired - soft bipolar? » ed_uk, posted by 4WD on January 19, 2006, at 17:39:13
Hi M
>And in the meantime while you are waiting to reach therapeutic dose levels..........
I don't think starting at a low dose necessarily delays the onset of the therapeutic effects. The onset of the therapeutic effects is delayed by several weeks whatever dose you start at. High initial doses can actually aggravate symptoms such as anxiety and restlessness. You can increase the dose as fast as your body permits eg. start at 10mg/day. Stay on 10mg for a few days. If 10mg is well tolerated, increase to 20mg. Stay on 20mg for a couple of days, if 20mg is well tolerated increase to 30mg...........etc.......etc......increase to 80mg (for example) for a couple of days, if 80mg is not well tolerated don't increase any further until the side effects have reduced. If the side effects were severe you might have to reduce the dose.
>...........do you just somehow get through the depression resulting from not being on much of anything?
>Or maybe taper off the old whilst starting the new?.....but if your current medication isn't helping......
Ed
poster:ed_uk
thread:596894
URL: http://www.dr-bob.org/babble/20060115/msgs/601104.html