![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by mogger on April 1, 2015, at 22:10:24
After 23 years of trying different cocktails, Lithium has helped me close to remission. The problem is that it has caused almost total sexual dysfunction decreased libido. I am trying switching other meds in my cocktail to see if it helps my sexual dysfunction. Right now I have almost switched completely from 150mgs of zoloft to 20mgs of brintellix. I have almost made the change and I am no better as far as the sexual dysfunction.
I simply can't come off Lithium or I will relapse so an option is to try Lithium Orotate to see if it can help and cause less side effects. Any experiences would be greatly appreciated.
mogger
Posted by rjlockhart37 on April 3, 2015, at 10:25:05
In reply to Anyone switch from Lithium Carbonate to Orotate?, posted by mogger on April 1, 2015, at 22:10:24
lithium orotate is much weaker than carbonate form, you can but orotate at a health food, or vitamen stores like GNC, or Vitamen World......
the effect is much less than lithium carbonate, it has small effect though....
Posted by mogger on April 3, 2015, at 15:44:16
In reply to Re: Anyone switch from Lithium Carbonate to Orotate?, posted by rjlockhart37 on April 3, 2015, at 10:25:05
Thanks for the reply,
Do you or anyone know roughly what the equivalent so they say dose of Lithium Carbonate to Orotate? I take 1500mgs of Carbonate so wondering what would be the equivalent for Orotate. Can't find it in on the internet.
mogger
Posted by rjlockhart37 on April 3, 2015, at 16:24:53
In reply to Lithium Carbonate equiv. to what Orotate dose? » rjlockhart37, posted by mogger on April 3, 2015, at 15:44:16
120mg of lithium is 5mg of elemental lithium, or carbonate.....
r
Posted by rjlockhart37 on April 3, 2015, at 16:27:35
In reply to Re: Lithium Carbonate equiv. to what Orotate dose?, posted by rjlockhart37 on April 3, 2015, at 16:24:53
"Lithium orotate contains less elemental lithium than lithium carbonate. Lithium orotate 120 mg has about 5 mg of lithium, and lithium carbonate 300 mg has about 60 mg of elemental lithium"
Posted by phidippus on April 12, 2015, at 8:09:55
In reply to Anyone switch from Lithium Carbonate to Orotate?, posted by mogger on April 1, 2015, at 22:10:24
no no no no no.
Are you sure the sexual disfunction wasn't caused by the Zoloft?
Eric
Posted by SLS on April 12, 2015, at 8:45:42
In reply to Re: Anyone switch from Lithium Carbonate to Orotate? » mogger, posted by phidippus on April 12, 2015, at 8:09:55
> no no no no no.
>
> Are you sure the sexual disfunction wasn't caused by the Zoloft?
>
> EricI have issues with achieving orgasm when I take lithium at dosages above 300 mg/day. Surprising. Serotonin?
- Scott
Posted by mogger on April 20, 2015, at 16:33:30
In reply to Re: Anyone switch from Lithium Carbonate to Orotate? » phidippus, posted by SLS on April 12, 2015, at 8:45:42
Scott,
Interestingly enough I saw a study done but can't find it regarding lithium sexual dysfunction on it's own and then lithium and benzodiazapine concomitant sexual dysfunction. I think that benzos and lithium combination can cause up to 47 percent sexual dysfunction as opposed to 7 percent on lithium alone. I am out of luck as 1500mgs of lithium and 1mg of clonazepam as well as a few other medications including zoloft have rendered me almost completely impotent and the lack of libido is shocking. I have tried and tried to come down on the three one at a time carefully and always relapse big time. So frustrating but I guess it is better than being 6 feet under. Did you mention that a new anti psychotic that was supposed to have come out by now but they had the insufficient paperwork submitted might be coming out soon?
mogger
Posted by SLS on April 20, 2015, at 19:05:23
In reply to Re: Anyone switch from Lithium Carbonate to Orotate? » SLS, posted by mogger on April 20, 2015, at 16:33:30
> Scott,
>
> Interestingly enough I saw a study done but can't find it regarding lithium sexual dysfunction on it's own and then lithium and benzodiazapine concomitant sexual dysfunction. I think that benzos and lithium combination can cause up to 47 percent sexual dysfunction as opposed to 7 percent on lithium alone. I am out of luck as 1500mgs of lithium and 1mg of clonazepam as well as a few other medications including zoloft have rendered me almost completely impotent and the lack of libido is shocking.I am so sorry to hear this.
> I have tried and tried to come down on the three one at a time carefully and always relapse big time. So frustrating but I guess it is better than being 6 feet under.
Welcome to the club. Prazosin has been a godsend for depression, but leaves me without a sex drive.
> Did you mention that a new anti psychotic that was supposed to have come out by now but they had the insufficient paperwork submitted might be coming out soon?
Cariprozine is the antipsychotic drug you are thinking of. It is very much like Abilify, but should be better at regulating the dopamine pleasure centers of the brain (nucleus accumbens).
I am currently trying Saphris in the hope that I can use it to replace Abilify for depression and be able to lose the 60 pounds it caused me to gain. Saphris is a great drug if you are looking for a antipsychotic with antidepressant properties. It is my impression that this drug is truly weight-neutral. It seems to be increasing my sex drive, but that could be the result of an improvement in depression.
- Scott
Posted by mogger on April 22, 2015, at 14:07:24
In reply to Re: Anyone switch from Lithium Carbonate to Orotate? » mogger, posted by SLS on April 20, 2015, at 19:05:23
Thank you Scott. That is great that Saphris seems to be helping. I noticed the same thing when I was on it. It was a good AD for me as well but above 5mgs it went the opposite way. Hopefully cariprozine comes out soon. I wonder if you ever asked about metformin? For me it has been heaven sent for any AAP weight gain. It even works to curb my lithium appetite.
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.