My doctor wants me to start on lithium 900mg at bedtime . I'm worried that it's a little too much to start with. Also he said to get the levels drawn next month but I know most people will get them done about 5 days after starting / changing dose. Also the lab order is just for the lithium , should I get kidney and thyroid function tests? I'm just worried because I've never had any manic episodes just a lot of anger issues and some thoughts about death but not suicidal. I'm also on straterra 60mg for adhd I don't think it's woeking but he wants me to keep taking it... any info would be appreciated.
To quote the Drugs.com site, "Serum levels should be determined twice a week during the acute phase, and until the serum levels and clinical condition of the patient have been stabilized. Desirable serum lithium levels are 0.6 to 1.2 mEq/L which can usually be achieved with 900 to 1200 mg/day. Serum lithium levels in uncomplicated cases receiving maintenance therapy during remission should be monitored at least every 2 months. Elderly patients often respond to reduced dosage, and may exhibit signs of toxicity at serum levels ordinarily tolerated by other patients."
A beginning 900 mgs once a day is ok.
Hi, bymysoul! Just my personal experience ~ my doctor ordered a FULLl blood panel BEFORE she started my lithium at 300mg in the morning and 300mg in the evening. After 2 weeks I had blood drawn for my lithium level only and since I was still a little low she increased my dose to 300mg/600mg. It will be two weeks when I have another level checked next Monday.
I did have manic episodes, but the main reason for adding lithium was my severe anger problems ~ I had almost uncontrollable rages although I did manage not to actually beat on anyone. LOL!!! Seriously, adding the lithium has been wonderful ~ no adverse events at all and it's helped me tremendously.
You should study up on lithium ~ you can just type it in the search box at the top of this page ~ as there are drug and food interactions you should be aware of.
One very important thing is to make sure you stay hydrated. Don't drink TOO much, which is also bad, but try to stick with 6-8 glasses of water a day.
I'm not familiar with Stratera, so I'll leave that to the others when they arrive.
Best wishes, WCV
Hi Bymy No it is not unusually to start with 900mg with lithium i seen this all the time and also tried it for a while myself,as far as blood test the dr knows what to watch for but all they ever did was check my blood every 4 to 6 weeks.this is a long acting medication with the lithium that is why they prescribe it in these dose's what i double checked with here was no mention of having to take a blood test that soon,,sounds all on the right track to me good luck my friend
and hope you have a good holiday..chuck1957 retired pharmacy technician cpht oregon.
I just started lithium 900mg 3 days ago for the first time every. My major challenges are severe irritablity, racing thoughts, depression and off the charts anxiety. I've had several doctors tell me that I'm bipolar. I've tried everything and this is a last resort. I've even had 13 shock treatments. What my experience so far is that the side effects are rough, very bloated, painful stomach, stoned feeling, heavy pressure in my chest, and back pain. Not sure what to do about it, should I call the doctor tomorrow?
- Lithium Information for Consumers
- Lithium Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lithium (detailed)
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