lithium

[jacky germishuys]

how much lithium must one take to feel nothing, at the moment i take 5oomg twice a day. it really gives me bad shakes that i have to take 18mg brazepam to slow the shakes down abit

please advise

[ftw...@gmail.com]

6 to 30 mg a day is NOT right re check your research, perhaps in the PDR if you're in the states.
Best check with medical provider and get a blood level and adjust from there
Furman
Sent on the Now Network™ from my Sprint® BlackBerry

-----Original Message-----
From: - darkman® - <sgi...@gmail.com>
Date: Sat, 17 Oct 2009 16:07:10
To: Bipolar Disorder<bipolar-...@googlegroups.com>
Subject: [Bipolar Disorder] Re: lithium


On Oct 17, 2:45 pm, jacky germishuys <germishuysmicha...@gmail.com>
wrote:

Scratch the overdose statement in my post above. Average dosages
according to the PDA are 6-30 mgs per day. Cannot do any more research
until I know the whole story. Nite

[- darkman® -]

On Oct 17, 7:44 pm, ftw...@gmail.com wrote: > Sent on the Now Network™
from his Sprint® BlackBerry

> 6 to 30 mg a day is NOT right re check your research, perhaps in the PDR if you're in the states.
> Best check with medical provider and get a blood level and adjust from there
> Furman

Did you want me or jacky, to get some blood work done?

Not to worry furman, I get mine... <laffin> I am scheduled for some
specific blood tests done on Tuesday.

As to the validity of the information that I posted re the daily max
dose specific to anxiety, please click the bic below. Then sit back
and count to 5 or until you get the desired result. That much I know
you can do.

http://tinyurl.com/yjydo6o then hit the next one use patience the
research portion of the net seems slow tonight.

http://tinyurl.com/ykzdtzl

Furman, there are a lot of things to be checked and rechecked on the
net especially if you are talking medicine. You can find sincere,
official and opposed opinions all over the place. One tries to use
common sense and sources recognized for their thoroughness.

From what little this man or woman writes there is a lot left
unanswered. I like it when people write in less than a complete and
truthful manner. It really gives me a lot of enthusiasm to do research
that they should be doing themselves or if disabled in conjunction
with their doctors.

As far as the information that I supplied !!!with disclaimer!!!, the
information on a probably misspelled drug along with an incomplete
list of current drugs combined with several screen nyms
( germishuys ) posted on this and other mental health boards, he or
she is lucky that I took any time at all to reply to this post. My
time is of considerable value. It is worth much more that the large
size of my inflated ego.

As to the blood levels that should be checked, what shall we look for
in the blood furman...old socks? Yes what do you suggest?
Seriously......

Furman do you have a clue as to the % of this drug stays active in
vivo and through which end of the pipe the wasted amount is excreted?
Shall we as well have a liver enzyme and renal test done do to the
lithium diet? Ya think?

Whichever drug it turns out to be it is a benzo. Addiction and abuse
are more the worry. According to the source listed below, up to 60 mg
per day given two equal doses of 30 mg each is well tolerated.
Tolerated by humans or elephants...I dunno, I didn't read that far.
But the literature says 6-30 and up to 60 mg per day....honest.... :P

Please find me some evidence to the contrary so that I may tip my hat
to you. Nothing would please me more than to have you prove me
incompetent.

Or shall we just play with our Black Berrys at the Red Tube Cafe and
Suburu lot?

My private view runs like this..if you are smart enough to turn on a
computer, search for and register with a chat group (google) and then
figure out how to post a question in that group, you ought to be able
to do a little research.

My suggestion to you is to do a little patient, drug, net nym and me
research yourself before you start honking your horn too loudly.
Somebody that actually has a clue might hear you. You know what
furman...I really cannot even tell if you are man or woman or
somewhere in between because all I have ever seen you do is play lets
hold hands and offer tissues to the afflicted.

Tell ya what, you handle this jacky germishuys post from a medical
standpoint. In fact handle the next 5.. "I need med info posts
please". Lets see how you do. Hell, even I should be able to learn
something. Start in about 2 hours as I'm going to check the marbling
on a cow out yonder and cook some of him up em up for supper.... if he
hasn't been playing in my weed garden again.

Oh almost forgot.

I wonder if you skim my longer posts.....nah....you liked that creep
from South Africa... Detroit? Anyhow, this little dity may save you a
little frustration. But remember furman....I had to do the work to
fuck around with you tonight.

Would you have gone to suck lengths to try to help a beeper who writes
an incomplete med question post?

http://tinyurl.com/yf6pspk

[- darkman® -]

On Oct 17, 2:45 pm, jacky germishuys <germishuysmicha...@gmail.com>
wrote:

Indication & Dosage Oral

Short term treatment of anxiety with or without insomnia

Adult: Initially, 6-18 mg daily in divided doses. Max: 60 mg daily.

Elderly: Max initial dose: 3 mg daily.

Administration May be taken with or without food.

Contraindications
Preexisting CNS depression or coma, resp depression, acute
pulmonary insufficiency or sleep apnea; severe hepatic impairment; not
indicated for chronic psychosis, phobic or obsessional states; may
precipitate suicide or aggressive behavior, not used alone to treat
depression or anxiety associated with depression; glaucoma.

Special Precautions
Chronic pulmonary insufficiency; elderly or debilitated patients;
muscle weakness, impaired liver or kidney function; drowsiness may
affect skilled tasks; monitor cardio-respiratory function when used
for deep sedation; patients with personality disorders or organic
brain changes; pregnancy and lactation; history of alcohol or drug
addiction due to risk of dependence. resp depression and hypotension
with parenteral administration, therefore this route should only be
used when facilities for reversing resp depression are available.

Adverse Drug Reactions
Drowsiness, sedation, muscle weakness and ataxia; less frequently
vertigo, headache, confusion, depression, slurred speech, changes in
libido, tremor, visual disturbances, urinary retention, GI
disturbances, changes in salivation and amnesia; rarely, jaundice,
blood disorders and hypersensitivity reactions; pain and
thrombophlebitis; raised liver enzyme values; paradoxical excitation.

Drug Interactions
Enhanced sedation or resp and CV depression with drugs with CNS
depressant properties eg, antidepressants, antihistamines,
antipsychotics, general anesthetics, other hypnotics or sedatives,
opioid analgesics and cisapride. Alcohol.
Potentially Fatal: Drugs which alter the hepatic microsomal enzymes.
Click to view more Drug Interactions

Mechanism of Action
Bromazepam is a benzodiazepine with general properties similar to
diazepam. It is used in the treatment of anxiety occuring alone or
associated with insomnia.

MIMS Class
Anxiolytics

ATC Classification N05BA08 - Bromazepam; Belongs to the class of
benzodiazepine derivatives anxiolytics. Used in the management of
anxiety, agitation or tension.

Related bromazepam information:
Drugs interacting with bromazepam
bromazepam Patient Med Info
Find bromazepam in other countries
Search bromazepam in Google
Search bromazepam in PubMed

Psychiatric lemonOlade 2 pints a 1£
Knowledge is Power Drink Up
- darkman - childOlite -
>>>>>>>>(R)§(R)<<<<<<<<

[ftw...@gmail.com]

Wasn't the question about the dose of lithium?
Sent on the Now Network™ from my Sprint® BlackBerry

[- darkman® -]

On Oct 18, 12:57 am, ftw...@gmail.com wrote:
> Sent on the Now Network™ from my Sprint® BlackBerry

> Wasn't the question about the dose of lithium?

snip~

of course it was...right up until the time you got the old BlackBerry
out and typed...

> > 6 to 30 mg a day is NOT right re check your research, perhaps in the PDR if you're in the states.
> > Best check with medical provider and get a blood level and adjust from there
> > Furman

Furman, Laffin.....your rep in this and other BP groups has just been
dropped to "sell" status, if you pass on the doing the work. I
figured that you'd wimp out. But not to worry kOOkla. Somebody out
there must have learned something. Too bad it wasn't you....
ROFLMFAO... I love boneheads.

- darkman® -

[jacky germishuys]

i difinitly take brazepam, sometimes i pop them like sweets, i take 500mg of lithium twice a day. i take 225mg venlor in the morning and at nite i take 8*10mg zopihexal and 400mg seraual and 60mg remeron. if i dont sleep within an hour i take a second dose. chemists dont pay much attension to scripts. i can make up letterheads so easly. i know i got a seriuos problem with pills but thats what keeps me going

 

On Sat, Oct 17, 2009 at 10:13 PM, - darkman® - <sgi...@gmail.com> wrote:

On Oct 17, 2:45 pm, jacky germishuys <germishuysmicha...@gmail.com>
wrote:

It's a curious question. The easy answer is "none".

Tremor was..... is..... part of the drug for most including me. I
couldn't tolerate it. However, it is many Pdocs drug of choice with a
new dx of pipolar even if the patient is depressed. Poor judgment in
my opinion.

What were you dx'd with?

How do you feel (other than with your hands) depressed, anxious, ?

What other drugs do you take?

Let me know the above and I'll give you my non professional opinion. I
will give you this, Personally, I think Li sux as a treatment for
depression and seems to work okay on some people described as manic.
You are according over the normal daily dose for brazapam...are you
certain that you don't mean to type "bromazapam and the later is a
very addictive drug.

If you take no other drugs other than the Li and Bromazapam, in the
quantities that you specify, it would seem to me that Li is not for
you. If that is the case...you sure that you are not taking any other
drugs...not to worry, there are many other better drugs with little or
no side effects to treat Manic Depression. Let me know what else is on
the plate.

[ftw...@gmail.com]

Dark man:
I don't know a ROFLMFFAO is.
Furman T. Wallace, Jr, (aka Wali). ftw...@gmail.com

Sent on the Now Network™ from my Sprint® BlackBerry

-----Original Message-----
From: - darkman® - <sgi...@gmail.com>
Date: Sat, 17 Oct 2009 22:38:21
To: Bipolar Disorder<bipolar-...@googlegroups.com>
Subject: [Bipolar Disorder] Re: lithium

[ftw...@gmail.com]

I take inderal for tremor which in my case is made worse by lithium or divalproex.
Inderal blocks the effect of adrenaline, could create problems if one has asthma or diabetes.

Sent on the Now Network™ from my Sprint® BlackBerry

---

From: jacky germishuys <germishuy...@gmail.com>

Date: Sun, 18 Oct 2009 13:13:37 +0200

To: <bipolar-...@googlegroups.com>

Subject: [Bipolar Disorder] Re: lithium

[- darkman® -]

> Furman T. Wallace, Jr, (aka Wali). ftw...@gmail.com
> Sent on the Now Network™ from my Sprint® BlackBerry
>

~Snipped~

On Oct 18, 8:04 am, ftw...@gmail.com wrote:
> Furman T. Wallace, Jr, (aka Wali). ftw...@gmail.com

> Sent on the Now Network™ from my Sprint® Black-Berry

> Dark man:
> I don't know a ROFLMFFAO is.
> Dark man:
> I don't know a ROFLMFFAO is.

furman, I believe you have developed a stutter!

My answer is "good" furman...ROFLMFAO...

I love boneheads twice as much since I met you furman. Your sloth is
only exceeded by your lack of desire to change. The fact that you are
clueless as to ROFLMAO and then asking me to tell you instead of you
simply looking it up is a testimony to your kind. You really should be
ashamed of yourself.

In other words when you type, get your hand out of your pocket and let
your fingers do the walking through your Black Berry, Betcha that
little buggar can find the answer for you. After all, you made it all
the way here didn't you furman?

Remember my personal take on things, if it is worth knowing, it is
worth finding. Were you really ill and not a smart ass I'd probably
tell you. However, since you are not ill but apparently just lazy, go
press a button. Who knows you may get a clue. It would make the first,
but hey, it is Sunday, miracles are selling at a discount on Sundays.

Psychiatric lemonOlade 2 pints a 1£
Knowledge is Power Drink Up

- darkman® - - childOlite -
>>>>>>>>(R)§(R)<<<<<<<<

[Michael Wiley]

Hey all,

I just returned from a conference with the FATHER OF ADOLESCENT BIPOLAR, Dr Dimitri Papolos.  Not directly pertaining to adults but to people overall, there is no maximum dose of lithium due to the fact all people can carry and absorb the drug at a different rate.  I currently take 450mg 2x/day and that is on the small side according to my pdoc.  I can't go higher b/c my hands will tremble off of my arms unfortunately. 

Children can and do receive doses just as large as adults b/c their systems and organs can utilize the drug more efficiently than adults.  Make sense?  So, bottom line, if your system can handle more (known through blood tests) then you could take a greater dose than most and benefit accordingly.  Lithium is the "Gold standard" for treating BP but most docs are ignorant in this area when it comes to children.

Most of all, whatever route you take...DO NOT STRAY FROM YOUR PRESCRIBED MEDICATION!  That is one of the single biggest problems w/ those of us who are BP!  You will never win or benefit if you don't listen to your pdoc. 

God bless all and keep on fighting the good fight!

--

Michael Wiley-
- “Whatever we give our greatest time, our greatest energies, and our greatest resources to is a good indication of where our convictions lie.”

[mmmousemaid]

Hi Michael,

People process lithium in different ways for some idiosyncratic
reasons,
e.g. how well their kidneys work (presumably childrens' are better),
how euthyroid you are, your weight, and how much water and salt,
potassium, you
consume per day. I think when the adverse effects show, then it's a
matter
of mini-max policy. 800mg is a nice dose -- wish I could take that.
My dr.
won't budge from 900mg since initiation 28 yrs. ago. I feel that 800
or even
600 would be a nice experiment for me. But, I'm not a doctor; only on
the net. :-)

Mmmousemaid

[Michael Wiley]

Very true...re how we all process lithium and every other drug differently.  Well, last night we started my daughter on lithium, 75mg @ night.  We'll migrate up to 150mg after 4 days and then stay on target until we check her blood again in a month. 

I am praying this is what her body needs to allow her to function in a more neurotypical manner...I'll take any and all prayers for my little girl!

Thx all and let's keep on keepin on!

[- darkman® -]

On Oct 22, 8:45 am, Michael Wiley <1wilecoy...@gmail.com> wrote:
> Very true...re how we all process lithium and every other drug differently.
> Well, last night we started my daughter on lithium, 75mg @ night.  We'll
> migrate up to 150mg after 4 days and then stay on target until we check her
> blood again in a month.
>
> I am praying this is what her body needs to allow her to function in a more
> neurotypical manner...I'll take any and all prayers for my little girl!
>
> Thx all and let's keep on keepin on!
>
>

Snip~

I've been pretty lucky with prayers lately Michael, for a little kid,
I'll give it a go. Better for me to pray for another.

Best to your daughter.

- darkman® -

[Michael Wiley]

God bless you Darkman and you too are in our prayers having heard about your situation.  The more I learn in life, the less I wish I knew...hence the happiness of children!

[- darkman® -]

yes, I single fathered a boy from 6 months to 16. Kids are the
best..leg hugs and I love you too much Daddie... Enjoy em while
they're little because after about 12, the honeymoon is over. <smile>
You still have some great stuff to look forward to as I would guess
your daughter to be about 5. Take lots of pictures

Rick

On Oct 22, 10:17 am, Michael Wiley <1wilecoy...@gmail.com> wrote:
> God bless you Darkman and you too are in our prayers having heard about your
> situation.  The more I learn in life, the less I wish I knew...hence the
> happiness of children!
>

[- darkman® -]

PS. Pay no attention to those rumors you hear or those chicks behind
the green curtain I am the Great and Powerful Wizard of OZ! Laffing
and no matter what, still full of baloney. But what can you expect
from a guy whose body is made up of 1% water and 99 % ham! Thanks for
yours as well, put me at the bottom of the roster but it would still
be good to be on the list...take care Mike

From ~me who is too lazy to under post today :-)

Psychiatric lemonOlade 2 pints a 1£
Knowledge is Power Drink Up
- darkman® -§- childOlite© -
>>>>>>>>(R)§(R)<<<<<<<<

On Oct 22, 10:17 am, Michael Wiley <1wilecoy...@gmail.com> wrote:
> God bless you Darkman and you too are in our prayers having heard about your
> situation.  The more I learn in life, the less I wish I knew...hence the
> happiness of children!
>

[Michael Wiley]

Amen!  She is 8 just this month and as all say way toooooo often, "they grow up so fast".  Yep, our scrapbook looks like my closet shared w/ my wife...maybe 15% is of me, my wife, etc. and the rest is dedicated to her!! ;)

bless you for being a single dad raisiing your child...wow, can't imagine and then having this problem to deal with too.  You go Darkman!

[R S]

yeh I am a real legend in my own mind

On Thu, Oct 22, 2009 at 12:35 PM, Michael Wiley <1wile...@gmail.com> wrote:

Amen!  She is 8 just this month and as all say way toooooo often, "they grow up so fast". 

  Tempos fugit Michael...get another closet, just think of the look on her face when she opens the door at 15 and    sees more hugs n love from you and her Mom. Hell that look alone may save your sanity!

Yep, our scrapbook looks like my closet shared w/ my wife...maybe 15% is of me, my wife, etc. and the rest is dedicated to her!! ;)

bless you for being a single dad raisiing your child...wow, can't imagine and then having this problem to deal with too. 

 

You go Darkman!

 

yeh to hell if I don't change my ways. Ever see the movie Constantine? Rent it you'll like it. It's all about us anyhow.

The wizard of OZ <soft smile>

[chris]

like you- my doctor won't go below 900 mg. (3 X 300 mg.) lithium
daily-I'd prefer 600 but I never met a dr who wanted to go w/ less
than 900.
less than 900 seems risky.

On Oct 21, 11:14 pm, mmmousemaid <mmmousem...@gmail.com> wrote:
> On Oct 19, 8:40 am, Michael Wiley <1wilecoy...@gmail.com> wrote:
>

> said-

> Mmmousemaid- Hide quoted text -
>
> - Show quoted text -

[mmmousemaid]

On Oct 17, 2:45 pm, jacky germishuys <germishuysmicha...@gmail.com>
wrote:

Tremor seems to be a side effect of lithium when the dose is high.
Saying the dose is high is not an absolute statement though, because
many factors intervene resulting in variability with each individual.
For example, not all have the same kidney clearance; not all have
the same thyroid status; not all drink a lot of water every day; not
all have the same brain problem.
So, while for me 900mg is OK, (and I do have to take Synthroid), that
may not be the case for you.

Mmmousemaid

[mmmousemaid]

Thanks for the feedback Chris. I find that very comforting actually.
I suppose
going lower may mean getting manic or depressed. On the other hand,
0.8meq/L- 1.2meq/L is acceptable and I am at 1.0 to 1.2 usually-- so
there's
room for experimenting, just to lessens the side effects.

Mmmousemaid