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Re: unsure about dropping eskalith (lithium)

Posted by linkadge on August 2, 2011, at 21:41:28

In reply to unsure about dropping eskalith (lithium), posted by preventa on August 2, 2011, at 21:05:54

Well, I (personally) would not completely discontinue lithium. Lithium is a well studied substace with multiple neurotrophic and neuroprotective cellular targets.

Discontinuing lithium abrubptly has been associated with an increase in suicidality.

You may benefit from a reduced dose (<900mg). If destabilization occurs, your best section option would be to add valproate. Another option is omega-3 fatty acids which have shown benefit in bipolar disorder. They can reduce the overal need for other mood stabilizers.

I certainly do not recomend coming completely off of 1650mg of lithium. But what about say:

600mg of lithium, 250mg valpraote and 2g EPA + DHA

Linakdge


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poster:linkadge thread:992641
URL: http://www.dr-bob.org/babble/20110728/msgs/992644.html