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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 deuce224 on May 22, 2006, at 12:24:15
I have tried many AD's and nothing has really worked for me. There is the possibility that I am BP II, but my syptoms lean more toward major recurrent depression. Recently, I have heard that for some people when Ad's don't work they add lithium and this seems help the AD work or just is the combo they need. Has anyone tried this? do you take full dosage of lithium (900 mg's or higher) or do you need less? I have been on parnate 30 mg's for 2 weeks and I am pushing it up to 40 mg's today. Hopefully this will do something, but so far I have had no positive benefits. Perhaps I need a lithium augment. Any thoughts?
Posted by willyee on May 22, 2006, at 15:51:43
In reply to lithium augmentaqtion with parnate, posted by deuce224 on May 22, 2006, at 12:24:15
Go for it! Definatly worth a try!
Posted by jedi on May 24, 2006, at 4:06:09
In reply to lithium augmentaqtion with parnate, posted by deuce224 on May 22, 2006, at 12:24:15
> I have tried many AD's and nothing has really worked for me. There is the possibility that I am BP II, but my syptoms lean more toward major recurrent depression. Recently, I have heard that for some people when Ad's don't work they add lithium and this seems help the AD work or just is the combo they need. Has anyone tried this? do you take full dosage of lithium (900 mg's or higher) or do you need less? I have been on parnate 30 mg's for 2 weeks and I am pushing it up to 40 mg's today. Hopefully this will do something, but so far I have had no positive benefits. Perhaps I need a lithium augment. Any thoughts?
Hi,
I have not tried lithium augmentation with a MAOI. That said, addition of lithium is one of the most tested and proven augmentation strategies in the literature. The MAOIs sometimes take a month or more at an effective dosage to work. 20mg is quite a low dose.
Good Luck,
JediRapid antidepressant effect of addition of lithium to tranylcypromine.
Link:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=3711366&query_hl=4&itool=pubmed_DocSumEfficacy of lithium-tranylcypromine treatment in refractory depression.
Link:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=3920923&query_hl=4&itool=pubmed_DocSum
Posted by deuce224 on May 24, 2006, at 10:01:02
In reply to Re: lithium augmentaqtion with parnate » deuce224, posted by jedi on May 24, 2006, at 4:06:09
thanks jedi. It looks like lithium augmentation might be a viable option down the road.
Posted by deuce224 on May 24, 2006, at 10:12:35
In reply to lithium augmentaqtion with parnate, posted by deuce224 on May 22, 2006, at 12:24:15
Great info on lithium augmentation. Looks like there is really something to it and it seems to be very helpful in treatment resistant depression check it out.
http://www.cpa-apc.org/Publications/Archives/CJP/2003/august/bauer.asp
Posted by Jost on May 24, 2006, at 20:53:11
In reply to Re: lithium augmentaqtion with parnate, posted by deuce224 on May 24, 2006, at 10:12:35
Hi. You might first give the parnate alone enough time to work. Two weeks really isn't enough, nor is the dose you're taking (even at 40 mg.) the highest dose one might try. (This of course depends on your reactions.)
So I would wait for a while more, and also ask about increasing the dose, before going to lithium.
The dose of lithium used to boost ADs is quite a bit lower than the dose used for BP.
Jost
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