Posted by Solstice on February 27, 2012, at 15:03:38
In reply to Re: Saphris - more reactions, posted by Twinleaf on February 27, 2012, at 14:54:11
> Sometimes the combination of lithium and drugs in the Saphris class will cause extra-pyramidal symptoms, when either one alone will cause either mild or no symptoms.
>
> In this situation, I think I would really want to know if Saphris can help. Could you withdraw the lithium and see how she does on the Saphris? If she does well, you can build her treatment plan around that; if she doesn't, you will know for sure that the Saphris is not helping. Possibly lithium could be re-introduced later at a much lower level, say 150 or 300 mg. per day.
Thanks for the idea, Twin. I'm waiting for the psychiatrist to call me back right now.. so I'll ask if she thinks we should withdraw lithium. My daughter's bipolar is difficult to characterize right now. It was initially clearly hypomania - pretty much constant hypomania. There was no obvious depression, but the irritability that she's experienced during this episode could either be depression - or part of the hypomania. But if her irritability is hypomania and not depression, then the lithium might be the one to drop.Anyway, I'll post again after I hear from the dr.
Solstice
poster:Solstice
thread:1011787
URL: http://www.dr-bob.org/babble/20120221/msgs/1011790.html