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My pdoc and I had too much to talk about yesterday so the question below skipped my mind.

what causes a lithium level to drop?  We keep mine on the lower side (0.5-0.6), but it most recently came back as 0.35.

we are raising the dosage, but I’m curious what could cause the drop to begin with.

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2 hours ago, dancesintherain said:

My pdoc and I had too much to talk about yesterday so the question below skipped my mind.

what causes a lithium level to drop?  We keep mine on the lower side (0.5-0.6), but it most recently came back as 0.35.

we are raising the dosage, but I’m curious what could cause the drop to begin with.

Hows your fluid intake? drinking more can lower it.........

Did you get it checked at the same time of day? Same hours since last dose? etc..........

Alot of factors can lower it.

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30 minutes ago, dancesintherain said:

Yes as to same time of day and 12 hours since the last dose.

i don’t feel like fluids have increased, but maybe they have. It would be in Coke Zero more likely, which can’t be good for you.

Are u on ir or Er ?

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So apparently changing your caffeine intake can cause your lithium level to change.  I’m guessing that’s probably the culprit...I wasn’t drinking nearly as much caffeine (because I didn’t have work to worry about) previously.

it makes me worried that an increase in the dose will cause it to spike to high if i do what I’ve been intending to do and drop my caffeine intake back.

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5 minutes ago, dancesintherain said:

So apparently changing your caffeine intake can cause your lithium level to change.  I’m guessing that’s probably the culprit...I wasn’t drinking nearly as much caffeine (because I didn’t have work to worry about) previously.

it makes me worried that an increase in the dose will cause it to spike to high if i do what I’ve been intending to do and drop my caffeine intake back.

I would think a small increase would be ok if monitored. You have tons of room, and frequent enough blood checks usually catch a problem 

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