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Lithium: at what level did your mood stabilise?


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I started taking lithium as an add on to Lamictal. My mood had really stabilized on Lamictal, but I was still depressed. The lithium really helped with the depression. I do need an atypical anti-psychotic (we abbreviate that to AAP, or "an atypical") as the final piece of my puzzle, but the lithium has helped a lot.

My mood stabilized at .6. I take 600mg, which is on the low side. Sometimes I read at .7, but my pdoc said that probably was more to do with time of day and water intake, and .6-.7 was an okay fluctuation.

I drink a ton of water, as well.

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I started taking lithium as an add on to Lamictal. My mood had really stabilized on Lamictal, but I was still depressed. The lithium really helped with the depression. I do need an atypical anti-psychotic (we abbreviate that to AAP, or "an atypical") as the final piece of my puzzle, but the lithium has helped a lot.

My mood stabilized at .6. I take 600mg, which is on the low side. Sometimes I read at .7, but my pdoc said that probably was more to do with time of day and water intake, and .6-.7 was an okay fluctuation.

I drink a ton of water, as well.

I take an atypical (aripiprazole, depot) as well. My problem when I was on lamotrigine was hypo/mania; that's what the Li is targeting. It improved things at first, but I think that that must have been a placebo effect, as I was definitely subtherapeutic on it. I think I'm segueing into a mixed episode at the moment - a very lethargic mania, if that makes sense. 

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I stabilized a week after hitting 0.7. I was taking 1200mg and it took about a month to get there. I felt really good for about a month and a half, and then a crippling depression hit that it was no match for. 

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I started with 400mg, which got me to 0.3 or so and already had some effect, I reached 0.6 at 600mg after two weeks, I needed to go up in dose a few months later because 600mg got me just below therapeutic and am now at 800. It took a while to settle, but I could feel the effect very quickly (1-2 weeks).

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I'm normally in the 0.8 mmol/L neighbourhood, but have been just over 1.0 mmol/L before. It takes 1500mg of lithium carbonate to get me there. 

From what I remember, it took about a week to really see effect and then that effect was very noticeable: dealt with the majority of my suicidal ideation, levelled me out (to the extent I was scared I'd lost my personality), and stopped the worst-of-the-worst of depression.

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