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Re: Welbutrin disaster » diego

Posted by SLS on January 17, 2009, at 20:34:49

In reply to Re: Welbutrin disaster, posted by diego on January 17, 2009, at 18:51:01

> Has lithium fallen so far out of favor it's not prescribed any longer?

It was the #1 adjunct to Parnate for quite some time.

Multiple toxicities with chronic use (kidneys and thyroid) and side effects have caused lithium to be a less popular first choice. However, for Bipolar I, there is generally no more reliable a treatment than lithium. It also can work with Lamictal to mitigate or prevent cycling. For bipolar disorder, dosages are generally within the range of 900-1500mg.

As an adjunct to antidepressants to treat depression, lithium is most often effective at low dosages (300-600mg). If it is going to work, it will produce a response most often within the first week. You get your answer pretty fast.


- Scott

 

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