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Lithium Losing Effectiveness


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I need my Lithium level checked. My dosage was lowered from 1200 to 900 when i started Topamax. But the Lithium is losing it's effectiveness. I've had a hypomanic episode, depression that follows, and i'm on frickin' edge. I;m scared because I have no health insurance and while I can get on rx assistance programs they take time. I like Lithium and what it did for me but it;s lost it. What are good options for bipolar 2? My hypomania is generally not horrific but I;ve had a couple big things. I was thinking of checking about Lamictal. but it scares me, that it doesnt seem to help with hypomania. thanks.

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No but Topamax raises the lithium level so he lowered my dose to avoid toxicity. I was already riding the line of being on the high end with my lithium levels so he was being cautious. I highly doubt im below the therapeutic level just from decreasing to 900.

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