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Re: considering switching depakote to lithium?

Posted by Squiggles on October 9, 2001, at 11:08:22

In reply to Re: considering switching depakote to lithium?, posted by SLS on October 8, 2001, at 14:16:52

> > > Hi Squiggles,
> > > I would be suprised if they did not have the ER formula in Canada. But of course I have no idea living in the states. But when you have to renew your script, perhaps you should ask you doc then. Can't hurt!
> > >
> > > Now you are quite a veteren of lithium. May I ask, do you ever experience any internal pulsing or a caffeinated feeling (without caffeine)? I feel this energized throbbing in my body, and I just can't seem to find anyone else on Li who experiences this. Do you have any insight on this?
> > > Thanks,
> > > Chloe
> >
> >
> > Chloe please excuse me, I did not reload the
> > messages on Dr. Bob's site and just saw your
> > question:
> >
> > Coffee consumption does have an effect on lithium.
> > If I remember correctly, coffee consumption
> > increases Li levels, here is a link:
>
>
> Hi.
>
> I think it's the other way around.
>
> Generally speaking, one can drink caffeinated beverages as long as the intake remains the same on a daily basis. If you establish your therapeutic blood levels while drinking 10 cups of coffee a day, then they should remain the same as long as you continue to drink the same 10 cups a day. I you were to reduce this to 2 cups a day, the blood-level of lithium would rise, necessitating a reduction in dosagee. I guess caffeine makes you piss out lithium quicker.
>
>
> - Scott

______________

Scott,

I think "The Virtual Hospital" is as good an
authoritative guide as you can get on psychiatric
drugs, etc.

On the issue, of coffee consumption and lithium;
take a look at the bottom part of this article:

'reduction of coffee consumption (form the normal
habit presumably) INCREASES toxic and side effects
of lithium.

I understand that you would imagine that you
urinate the lithium out, but keep in mind, that
you may also urinate water, and liquids, it would
act as a diuretic in other words. And as
you probably know diuretics are not good with
lithium because they are dehydrating.

Squiggles

http://www.vh.org/Patients/IHB/Psych/Medications/lithium2.html


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poster:Squiggles thread:80073
URL: http://www.dr-bob.org/babble/20011007/msgs/80747.html