Posted by SLS on August 8, 2012, at 16:01:15
In reply to Lithium good now what..., posted by sheilac on August 6, 2012, at 18:32:24
How does Adderall help you?
Zoloft has been used in the past to treat irritability, anger and aggression. However, it seems that in a minority of people, it can actually cause these things. I have seen it work, though.
I would explore increasing the lithium to 600 mg/day first based upon your partial response to lower dosages. Hopefully, the side effects will subside. I think it makes sense to then try to discontinue the Adderal, but only if your irritability continues - understanding that you might temporarily feel depressed and lethargic as a result. I would leave Zoloft for last since its effects can be unpredictable when treating bipolar disorder.
It's too bad that you don't react well to Trileptal. Most people do not feel more depressed as a side effect. By comparison, some people do feel more depressed while taking Depakote. However, it can be a good drug to treat bipolar II mixed-states.
Lithium seems to be a good drug for you. Try to make it work. Perhaps you could increase the dosage by half a pill for a few days before moving up to 600 mg/day. Perhaps being patient on 450 mg/day is the answer. Give it a chance to work.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1022807
URL: http://www.dr-bob.org/babble/20120803/msgs/1022889.html