I currently take 900mg of lithium and since I began years ago, I've taken it all at dinner.
My current pdoc has changed the dosing, with 300mg at breakfast and 600mg at dinner.
Since I started this new scheme, I feel off. I've been very snippy with my husband and am having trouble being productive. We just bought a new house and I'm not helping at all between hiring the painters and cleaners and packing up so we can be out of the rental by the end of the month. I also have a big event coming up next weekend, and I've started to think I should cancel it since I'm having so much trouble trying to get ready.
Folks on lithium, how many times a day do you take it, and when?
Anyone else have these issues when moving it around?
First off, I'm aware people here sometimes have issues when switching from Brand med to Generic. My pdoc started me on a Generic Venlafaxine, (maybe she didn't want there to be an issue at a later date, in case I wasn't given the specific Effexor name brand everytime, I guess)? I started on 37.5mg Mylan tab, and as I increased, not sure if it changed. Last 4 months, I was taking 150mg (in 1 tab pill), (can't remember the name).
Anyway, I am completely confused!! I've been on different generic manufacturers and different formulations (sometimes I go to a different pharmacy, due to stock, they sometimes give me 2 75mg doses, instead of 150mg). I'm not sure even which manufacturer/brand I've been taking the longest, as I don't save the packages. However, I have noticed this last week, I've been on a different pill than months prior. I am definitely feeling different (much more tired, LAZY, spacey and sweaty) I compared my current pill (Peach, 2 dose 75mg Pfizer Venlafaxine Capsules with individual beads) to a previous one (White, Mylan Venlafaxine, it's a hard tablet inside a capsule?). I've never been on the capsule with individual beads version (usually only the hard tab).
I don't know the difference between these formulations (capsule with beads versus hard tabs)!! I'm assuming there would be a huge difference in the release mechanism and absorption of the drug right? I'm not sure what to do, or which specific manufacturer/name to request now....I also read that only XR formulation exists (no instant) so all of these should be extended, right? Which ones have the best reputation?
Utterly intolerant to Antipsychotics, Strongly considering Lithium or Lamictal as Monotherapy for Schizoaffective Disorder.By SheltieUnderdog
I've been on and off antipsychotics sporadically for the last 7 years since age 22 (since 2011). I'm extremely sensitive to them and have a very high response to every one I've been on. I've gained 145lbs from an increase in appetite and metabolic changes, have severe akathisia that is utterly insane and makes me want to cut my own legs off, I developed severe gynecomastia from Risperdal and Invega respectively (Won the Risperdal lawsuit, but no surgeon will touch me because of my weight), experience anxiety (The most on Abilify), fatigue, drowsiness, impotence (On Fanapt), anhedonia (From aggravated depression on Haldol), blurred vision (On Fanapt), lack of concentration, mild tardive dyskenesia (In combination with TMJ syndrome, I think it's permanent), dry eyes (Can't secrete my own tears), nasal congestion (aggravated, because I have it anyway without taking APs) , disorganized speech (Literally developed a speech impediment from a combination of Fanapt and Topamax), GI issues, etc
I've experienced almost every common recorded side effect from this category / class of drugs. The lack of control over my weight and appearance and the akathisia are the worst (that's why they're listed first and reiterated). These drugs have destroyed the relatively abysmal life I had before I developed this illness and presently cut it down to absolutely nothing. I have no life. I spend the majority of my life either going to multiple doctor's appointments for my medical issues or otherwise eating uncontrollably, and pacing back and forth and smoking cigarettes occasionally. I browse the internet with my thoughts racing. I might try to watch a TV show or play video games or play bass guitar like I used to but I can barely hold concentration or focus long enough. I want this to end, I really want out. I want to experience a fraction of life again.
I was previously diagnosed Bipolar 1 With Psychotic Features before my 2nd and most recent episode. As I said, I haven't taken APs consistently for 7 years. I've gone off of them twice for pretty significant periods of time before I relapsed. I usually last about 10 or 11 months (almost a year) without symptoms and perform consistently better in life in general with everything gradually going back in my life to when before I was 22. The side effects and depression usually disappear within a week. At 5 to 8 months I'm very stable, but in just under 11 months I start feeling like I'm on top of the world, become severely manic and delusional, hallucinate, experience an episode, and get into legal trouble. The 1st time around, I resisted arrest during a welfare check called in by my parents and went to the hospital and the 2nd time I successfully eluded the cops by motor vehicle on the highway and got caught hours later and went to county jail.
I understand I could be facing harsh consequences but I've never been on a heavy mood-stabilizer before. All they do is overload me with APs. After the 1st episode I stopped taking psych meds completely because of how much I despised how I felt except for Zoloft and resisted almost all treatment. I avoid SSRIs now and will this time because I think it may have been responsible for raising my mood too much before the 2nd incident took place.
The key to preventing future incidents for me, I believe, is to make the hallucinations and mania more tolerable to where I won't feel the need to act on them. The delusions are a joke, I can easily handle them. I'm currently taking Latuda 20mg and I'm requesting that my psychiatrist allow me to keep 2 or 3 bottles stored in my cabinet or 1 on me at all times in case any symptoms were to occur while taking Lithium. During the last episode, I was frantically searching for antipsychotics or any appropriate psych medication but didn't have them because I threw all of my former meds away after the first episode had taken place. This time I will have them to back me up and if it turns out that I need to suffer immeasurably on Latuda 20mg or another AP for the remainder of my life then so be it but I deserve a chance on a mood stabilizer simply because of what I've gone through and what I'm experiencing on APs.
Has anyone ever tried Lithium as monotherapy for schizoaffective disorder or bipolar 1 with psychotic features? I hear it still has some side effects (would like to know what all of those are) but that it's immeasurably more tolerable than antipsychotics. I realize many people use it in combination with an antipsychotic but this is not in reference to that. Is there anything better than those two that's not an AP? This post is simply to inquire about anyone's thoughts or experiences about using Lithium or Lamictal as monotherapy for schizoaffective mania. A dosage and frequency recommendation would also be appreciated from those that have taken it, although I realize that I will ultimately need my psychiatrist to determine that.
I found 1 study on this subject from the early to mid 1980's here: https://watermark.silverchair.com/10-1-30.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAcYwggHCBgkqhkiG9w0BBwagggGzMIIBrwIBADCCAagGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMAypxqSBIPHx7kbXfAgEQgIIBeTskilYIIUxtfy4i-FH7a6BQ4SrsYxqZG44q7kWx1rVJdLbZ4PMxE33_FUje8rDj4FoUYJI27hYGzv-06pCL6xPDrbVg7n-g9QzqTwoPiRxgDv2VnqzwifudoudTuskAGEKItv5TfD1_V9opXCFF7vJXJln8ij8NeNkMLUpe_n-Xbp6TtkU7rXYdPCZ9dObhTfmQ4PEHkwKfcJcOVAjXzelMWD1EPzWPxCK5zu1l1d2w8ojnqH68mbvgaDuvBxyPTY-EEdADh9N0NIUPQCWHXZKWE2gEBsG_AbWS-bkPdgjxtXcn8Y_5KljQbU2Geb_ERYYWuWFMEk6CRs7FYte_16TOiCQVlahMabKxw0BdjlqvdGaPYZTKBoBWb9Poswigg8jbF1whmlo7WWRyCLCLdbKt4xkmZCU0qmv_j5FTFzeXsq05ptOFY10M3jpUft1xV75pMsPtVJ8U7d42OYqMksXhZyrA8B5k9XNhfJGS0XgmTTSLHNOdcTY2
I’ve been on Effexor the last 3-4 months, I haven’t felt anxious at all, or depressed. Seems great right? I increased a week ago (to 150mg), and since, It’s increasingly difficult to get out of bed in the morning. I sleep really well, I don’t feel tired. I just feel soooo comfortable, relaxed, calm, cozy and content that I just lay in bed for an extra 3 hours. My mind empty.
The last few days, I’ve been completely shirking off/avoiding all responsibilities: called in sick to work twice, skipped my courses, just to lay around in my pjs and do nothing! WTF? I No desire to socialize, haven't showered the last 2 days...It reminds me when I was on Celexa - I became so lazy/apathetic/disinterested that I had to discontinue.
Is there such a thing as “too much serotonin?” Maybe I should just wait things out, until I get used to it? I feel like I need to increase my stimulant & drink extra coffee just to light a fire under my @ss.
During misdiagnosis days, Effexor destroyed my life when I was barely 21. Severe mania, severe adhd, blackouts, being manipulated by psychopathic friends, and ruination all around. And PSSD (least of my issues then). Fixed (somehow) by 23 or so.
At 29, tried lamotrigine. Further destroying my hair much like Adderall did. Tried finasteride - ruined my life (last year).
Fixing now... or trying to. Literally made my face look different and caused things that look like hypogonadism.
If you are healthy - stay away from such drugs especially if you already have neurodevelopmental/neuropsychiatric disorders.
I'm sure a lot of pro-med people here will disagree, but I have family members who are no more intelligent than me who are married with kids, and making 800k-2million a year. The difference between us isn't that I didn't work hard nor is it a lack of ability/intelligence. It's that I spent my 20's in hell, fixed it, was lured to try another med. Though dexedrine was working -- and no doctor believes lamotrigine can cause hair loss. And trust me: Drug-caused illness is even worse. If ADHD and Bipolar (and both) have increased suicide risks, what about adding a disease that no one knows about, that doctors don't believe in (at all), that changes one's genitals, eyes, eyesight, face, and ability to function? I'm lucky in that I've seen a lot of shyt in my life and am a fighter. Others (plenty have committed suicide) would be gone. I was close at times - thanks to finasteride. I was bedridden. I won't write here again, until I'm better.
By the way some of those family members I have are physicians, and trust me they don't "get PSSD", nor "PFS" (post finasteride syndrome). So if I was alone before... Well I was better off without taking lamotrigine and for sure finasteride. Fin inhibited UTG1A4 which metabolizes Lamotrigine or perhaps it was neurosteroid depletion which caused Lamo to stop working while I was on it.
I have neuro, psyche, and physical symptoms (like 20) because of this. It isn't in my head. I can literally see my picture from right before I quit to quitting finasteride, my eyes look different. My vision also is different, and I think slower. I'm getting a bit better - but I need it cured asap. Fuck all this.