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my meeting with my new psychiatrist
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David Dalton
Feb 20, 2013, 3:11:09 PM2/20/13
to
I met with my new psychiatrist Dr. Gordon Noseworthy
this afternoon.
My EKG was normal, my uric acid is slightly above normal, and
my hemoglobin is slightly below normal. My kidney tests
were about where they have been for the last few months:
creatinine 167 eGFR 38 compared to last time's
creatinine 172 eGFR 37, so the abstaining from alcohol
for a few weeks had little or no effect (but I plan
to stick to my limit of two pints twice a week).
Last time he said he was leaning towards Abilify so I was
prepared to argue for Epival. But he said he had
talked with his pharmacologist and that person had
recommended Epival, with a backup of asenapine (another
atypical antipsychotic), not Abilify.
So he is switching me from lithium to Epival but
leaving me on olanzapine. However he is leaving
me on lithium until I reach a desired blood level
of valproic acid. He put me on a relatively small
dose of 500 mg Epival/day to start, and after at
least ten days on that I will get blood tests, and
then Iwill see him again on March 13, when depending
on the valproic acid blood test he may tell me
to start gradually coming off the lithium, or
he may have to increase the Epival a bit first.
--
David Dalton dal...@nfld.com http://www.nfld.com/~dalton (home page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
http://www.nfld.com/~dalton/dtales.html Salmon on the Thorns (mystic page)
"Here I go again...back into the flame" (Sarah McLachlan)
this afternoon.
My EKG was normal, my uric acid is slightly above normal, and
my hemoglobin is slightly below normal. My kidney tests
were about where they have been for the last few months:
creatinine 167 eGFR 38 compared to last time's
creatinine 172 eGFR 37, so the abstaining from alcohol
for a few weeks had little or no effect (but I plan
to stick to my limit of two pints twice a week).
Last time he said he was leaning towards Abilify so I was
prepared to argue for Epival. But he said he had
talked with his pharmacologist and that person had
recommended Epival, with a backup of asenapine (another
atypical antipsychotic), not Abilify.
So he is switching me from lithium to Epival but
leaving me on olanzapine. However he is leaving
me on lithium until I reach a desired blood level
of valproic acid. He put me on a relatively small
dose of 500 mg Epival/day to start, and after at
least ten days on that I will get blood tests, and
then Iwill see him again on March 13, when depending
on the valproic acid blood test he may tell me
to start gradually coming off the lithium, or
he may have to increase the Epival a bit first.
--
David Dalton dal...@nfld.com http://www.nfld.com/~dalton (home page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
http://www.nfld.com/~dalton/dtales.html Salmon on the Thorns (mystic page)
"Here I go again...back into the flame" (Sarah McLachlan)
Jason
Feb 20, 2013, 4:57:02 PM2/20/13
to
In article <dalton-EDFF82....@mx05.eternal-september.org>,
I hope the new plan works out well for you. You need to stop taking
lithium ASAP since it could cause you to get total kidney failure if you
keep taking it.
lithium ASAP since it could cause you to get total kidney failure if you
keep taking it.
mainframetech
Feb 20, 2013, 5:26:44 PM2/20/13
to
> "Here I go again...back into the flame" (Sarah McLachlan)
>
>
David,
>
>
Glad to hear things are moving along. I looked up Abilify and
'kidney disease' and found this site. See what you think. You might
want to show it to the psychiatrist:
http://www.ehealthme.com/ds/abilify/diabetic+kidney+disease
Good Luck,
Chris
David Dalton
Feb 20, 2013, 5:48:41 PM2/20/13
to
In article
<ea18404d-81cb-4851...@dp10g2000vbb.googlegroups.com>,
he is no longer considering Abilify. Instead we will
first try Epival instead of lithium. If that doesn't
work, maybe due to Epival side effects, we will next
try asenapine. Only if that didn't work out would he
consider Abilify again, and I would mention the possible
diabetic kidney disease link then.
--
<ea18404d-81cb-4851...@dp10g2000vbb.googlegroups.com>,
> David,
> Glad to hear things are moving along. I looked up Abilify and
> 'kidney disease' and found this site. See what you think. You might
> want to show it to the psychiatrist:
>
> http://www.ehealthme.com/ds/abilify/diabetic+kidney+disease
>
> Good Luck,
> Chris
Thanks, Chris, that site was interesting. But luckily
> Glad to hear things are moving along. I looked up Abilify and
> 'kidney disease' and found this site. See what you think. You might
> want to show it to the psychiatrist:
>
> http://www.ehealthme.com/ds/abilify/diabetic+kidney+disease
>
> Good Luck,
> Chris
he is no longer considering Abilify. Instead we will
first try Epival instead of lithium. If that doesn't
work, maybe due to Epival side effects, we will next
try asenapine. Only if that didn't work out would he
consider Abilify again, and I would mention the possible
diabetic kidney disease link then.
--
David Dalton dal...@nfld.com http://www.nfld.com/~dalton (home page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
http://www.nfld.com/~dalton/dtales.html Salmon on the Thorns (mystic page)
http://www.nfld.com/~dalton/nf.html Newfoundland&Labrador Travel & Music
Pendrag0n
Feb 21, 2013, 12:41:34 AM2/21/13
to
On Wed, 20 Feb 2013 16:41:09 -0330, David Dalton <dal...@nfld.com>
wrote:
>I met with my new psychiatrist Dr. Gordon Noseworthy
>this afternoon.
>
>My EKG was normal, my uric acid is slightly above normal, and
>my hemoglobin is slightly below normal. My kidney tests
>were about where they have been for the last few months:
>creatinine 167 eGFR 38 compared to last time's
>creatinine 172 eGFR 37, so the abstaining from alcohol
>for a few weeks had little or no effect (but I plan
>to stick to my limit of two pints twice a week).
>
>Last time he said he was leaning towards Abilify so I was
>prepared to argue for Epival. But he said he had
>talked with his pharmacologist and that person had
>recommended Epival, with a backup of asenapine (another
>atypical antipsychotic), not Abilify.
>
>So he is switching me from lithium to Epival but
>leaving me on olanzapine. However he is leaving
>me on lithium until I reach a desired blood level
>of valproic acid. He put me on a relatively small
>dose of 500 mg Epival/day to start, and after at
>least ten days on that I will get blood tests, and
>then Iwill see him again on March 13, when depending
>on the valproic acid blood test he may tell me
>to start gradually coming off the lithium, or
>he may have to increase the Epival a bit first.
Well that's good news then and it is certainly progress. Don't be
tempted to go back to the safety of the devil you know as you know for
sure it will destroy you. It wont be easy but it will certainly be
possible for you to change if you give it what it deserves.
Two pints a week of *normal* beer is probably OK so I wouldn't sweat
it. The damage occurs over years not days. As with most bad things,
which is probably why we often fail to appreciate the connection.
I have no idea what those drugs are and you should thoroughly research
them in the context of your own condition so that you are aware of
potential problems.
Good Luck.
wrote:
>I met with my new psychiatrist Dr. Gordon Noseworthy
>this afternoon.
>
>My EKG was normal, my uric acid is slightly above normal, and
>my hemoglobin is slightly below normal. My kidney tests
>were about where they have been for the last few months:
>creatinine 167 eGFR 38 compared to last time's
>creatinine 172 eGFR 37, so the abstaining from alcohol
>for a few weeks had little or no effect (but I plan
>to stick to my limit of two pints twice a week).
>
>Last time he said he was leaning towards Abilify so I was
>prepared to argue for Epival. But he said he had
>talked with his pharmacologist and that person had
>recommended Epival, with a backup of asenapine (another
>atypical antipsychotic), not Abilify.
>
>So he is switching me from lithium to Epival but
>leaving me on olanzapine. However he is leaving
>me on lithium until I reach a desired blood level
>of valproic acid. He put me on a relatively small
>dose of 500 mg Epival/day to start, and after at
>least ten days on that I will get blood tests, and
>then Iwill see him again on March 13, when depending
>on the valproic acid blood test he may tell me
>to start gradually coming off the lithium, or
>he may have to increase the Epival a bit first.
tempted to go back to the safety of the devil you know as you know for
sure it will destroy you. It wont be easy but it will certainly be
possible for you to change if you give it what it deserves.
Two pints a week of *normal* beer is probably OK so I wouldn't sweat
it. The damage occurs over years not days. As with most bad things,
which is probably why we often fail to appreciate the connection.
I have no idea what those drugs are and you should thoroughly research
them in the context of your own condition so that you are aware of
potential problems.
Good Luck.
mainframetech
Feb 21, 2013, 6:51:47 AM2/21/13
to
On Feb 20, 5:48 pm, David Dalton <dal...@nfld.com> wrote:
> In article
> <ea18404d-81cb-4851-82db-2c9cecb74...@dp10g2000vbb.googlegroups.com>,
> David Dalton dal...@nfld.com http://www.nfld.com/~dalton(home page)http://www.nfld.com/~dalton/nf.htmlNewfoundland&Labrador Travel & Musichttp://www.nfld.com/~dalton/dtales.htmlSalmon on the Thorns (mystic page)
OK. Sounds good. I was never a big fan of Abilify anyway. All the
ads for it say it's for use as a secondary and isn't suppose to
replace another drug. The 'Epival" has a more standard warning for
kidney disease, which says:
"Kidney disease: If you have kidney disease discuss with your
doctor how this medication may affect your medical condition, how your
medical condition may affect the dosing and effectiveness of this
medication, and whether any special monitoring is needed."
I imagine the doctor already knows of your condition.
Good Luck,
Chris
> In article
> <ea18404d-81cb-4851-82db-2c9cecb74...@dp10g2000vbb.googlegroups.com>,
> "Here I go again...back into the flame" (Sarah McLachlan)
>
>
David,
>
>
OK. Sounds good. I was never a big fan of Abilify anyway. All the
ads for it say it's for use as a secondary and isn't suppose to
replace another drug. The 'Epival" has a more standard warning for
kidney disease, which says:
"Kidney disease: If you have kidney disease discuss with your
doctor how this medication may affect your medical condition, how your
medical condition may affect the dosing and effectiveness of this
medication, and whether any special monitoring is needed."
I imagine the doctor already knows of your condition.
Good Luck,
Chris
Pendrag0n
Feb 21, 2013, 7:22:43 AM2/21/13
to
wonder if any studies have actually been done on the potential damage
to kidneys, say with a routine medication like clonidine?
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