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Re: Lithium levels - Additional thinking.

Posted by SLS on July 16, 2021, at 8:38:38

In reply to Lithium levels, posted by Markwell on July 14, 2021, at 10:37:45

I'm sorry, for posting again, but I thought of a better way to navigate reducing lithium and adding lamotrigine:


1. Leave your dosage of lithium alone and *add* lamotrigine 200-300 mg/day. If you feel the same or better with lamotrigine and experience minimal side effects, you can then try:

2. Reducing the dosage of lithium gradually, if or until you reach a dosage that causes you to deteriorate into depression. If you relapse, you would still be on lithium, so I doubt you would risk losing any effectiveness. However, you would want to return to a higher dosage of lithium immediately, although somewhat gradually. Titrate at a rate that will allow you to find the lowest effective dosage.

3. If you get no side effects from the lamotrigine, leave it in place and try . Often, mild memory and cognitive impairments appear early in lamotrigine treatment, but will probably disappear with continued use.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.

 

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