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I started taking lithium just over a week ago. I took 300mg for 3 days, and instantly felt better, calmer and more clear headed. I then started taking 600mg, and felt even better. Then after 3 days on the 600mg, I had a really bad day. I was REALLY agitated, and felt pretty much the same as I did before I started the lithium. I called my pdoc and she told me to cut my remeron dose in half, in case I was getting too much antidepressant action with the lithium.

So for the last couple of days I only took 1/2 of my remeron. I feel less agitated, but also more depressed. I still dont feel anywhere near as good as I did those first few days on 600mg of lithium. :(

why isnt it working as well anymore? Does anyone have any ideas? Do I need to take more lithium? Less? Is this a sign it isnt going to work for me?

My pdoc said I could try going up to 900mg if I want to, but is that safe? I havent had my lithium level checked yet, I was supposed to do it next week. So far I have not had any side effects from the lithium except thirst.

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You really should get your lithium level checked before going any higher. Well, that's what my pdoc did with me. I got my level checked after 5 days on 600mg before getting it increased.

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