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Doctor insights on: Depression And Lithium

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Biploar/gad/depression on lithium 300mg bid/paxil 20mg qday/klonopin prn. Phendimetrazine (75mg & 105mg for weight loss) would chantix be ok?

Biploar/gad/depression on lithium 300mg bid/paxil 20mg qday/klonopin prn. Phendimetrazine (75mg & 105mg for weight loss) would chantix be ok?

Risky: There have been problems with Chantix along the lines of mood disorders and suicidality. It sounds like you're already dealing with complex mood and anxiety issues, so i would not risk tilting your balance further with chantix. There are other ways to help you stop smoking -- please discuss with your physician. ...Read more

Dr. Pamela Pappas
4,559 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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How long do people with severe recurrent depression stay on lithium on average?

How long do people with severe recurrent depression stay on lithium on average?

Usual time varies: The standard is a minimum of 6, but there is less recurrence if it is 12 mos. If there have been many recurrences, you may want to consider using it long term for prophylaxis ...Read more

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Increase in anxiety, mild depression after stopping Lithium cold turkey. I must ask, when will this stop and I get back to my normal self?

Increase in anxiety, mild depression after stopping Lithium cold turkey. I must ask, when will this stop and I get back to my normal self?

Unclear: This is usually given for a bipolar diagnosis. I am not sure why this was stopped cold turkey but the anxiety and mild depression may get worse. It may resolve but will take time to sort itself out. By the end of one month you should have some idea. The problem however should be under the care of a doc since this was stopped abruptly. Maybe your psychiatrist. Best wishes. ...Read more

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I told my psychiatrist that I had manic depression tx with lithium 25 years ago, suicidal. Now he said I have cyclothymia.?

I told my psychiatrist that I had manic depression tx with lithium 25 years ago, suicidal.  Now he said I have cyclothymia.?

Second opinion: As we have answered this question before, I am not sure what more to say. If you are uncomfortable with the diagnosis, i hope you will either address this with you provider, and/or get a second opinion. As i noted before, one advantage is that both conditions are treated in a similar manner and exist along a spectrum. ...Read more

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2 other psychiatrists agree that I've been misdiagnosed with manic depression. Was prescribed Lithium. How long does the withdrawal process last?

2 other psychiatrists agree that I've been misdiagnosed with manic depression. Was prescribed Lithium. How long does the withdrawal process last?

Don't worry.: It probably will be relatively easy. Work w/ the psych you feel good w/ if they'll be treating you but if you're on your own, read this piece to be safe. You'd need a doctor to prescribe the taper doses if necessary. Slow is better than cold turkey if you were on it at a high dose or for long. http://mentalhealthdaily.com/2014/04/24/lithium-withdrawal-symptoms-list-of-possibilities/ Hope it helps! ...Read more

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I need something for depression and fibro, i take lithium, what hasnbeen reported to do best with lithium? I understand everyone is different.

I need something for depression and fibro, i take lithium, what hasnbeen reported to do best with lithium?  I understand everyone is different.

If you are not: Bipolar, then Cymbalta is your best bet for depression and for fibromyalgia pain control. If you are bipolar, then the addition of Latuda for the depression and gabapentin, lyrica, (pregabalin) or low-dose amitriptyline, can be helpful. See the following article also for non-drug treatments. www.mayoclinic.com/health/fibromyalgia/ds00079/dsection=... ...Read more

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Type 2 diabetic and have severe depression. Can i be on lithium alone or will an anti-depressant be needed also?

Type 2 diabetic and have severe depression. Can i be on lithium alone or will an anti-depressant be needed also?

Likely : The lithium usually works more on the other end of the spectrum in bipolar--to prevent manic symptoms. It is often used in combination with antidepressant therapy. ...Read more

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Would latuda (lurasidone) be more effective for treating bipolar depression than an ssri with lithium?

Would latuda (lurasidone) be more effective for treating bipolar depression than an ssri with lithium?

Both may work.: Latuda (lurasidone) was approved last year by the fda for the treatment of bipolar depression by itself and in combination with other meds such as lithium or depakote. Lithium and ssri treatment for bipolar depression is another option; however, there is a risk of serotonin syndrome which can be potentially dangerous when used together. Prozac has been assoc. W/ more adverse effects in combo than other ssris. ...Read more

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I'm just seeking opinions! my doctor started me on Zoloft (sertraline) oft depression while i'm on lithium for bipolar? Can that be a good combo?

I'm just seeking opinions!  my doctor started me on Zoloft (sertraline) oft depression while i'm on lithium for bipolar?  Can that be a good combo?

I wonder if the: Zoloft (sertraline) is being used for anxiety as i see that listed under conditions. That might make more sense then adding in zoloft (sertraline) for depression. There is often concern that antidepressants could raise risk for mania/ hypomania. ...Read more

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Is lithium appropriate for clinical depression?

Is lithium appropriate for clinical depression?

Yes, but...: Yes, but usually after other treatments have failed. Lithium is one of the few drugs with evidence showing it can reduce suicidal behavior, so lithium (either monotherapy or adjunctively) definitely has a place in treating severely depressed, suicidal patients who've failed more conservative tx. I'll add that when used adjunctively, doses are often much lower than what's used in bipolar patients. ...Read more

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What is the best depression/pain medicine that goes with lithium?

What is the best depression/pain medicine that goes with lithium?

Bipolar depression: Latuda is approved for use in bipolar depression alone or with lithium or depakote. Other options are seroquel xr or symbyax (fluoxetine and olanzapine) (a combination of Prozac and zyprexa.) Lamictal is often added in but is not actually approved. Symbyax (fluoxetine and olanzapine) causes a lot of weight gain and seroquel xr can be sedating, if it were me, i would opt for Latuda and depakote. Pain med is up to your doc, since you don't specify type. ...Read more

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How long to take lithium as add on for severe recurrent major depression?

How long to take lithium as add on for severe recurrent major depression?

Lithium treatment: Lithium can be taken as long as necessary provided it is the primary med necessary to stabilize a person's recurring depression and is medically safe. Blood levels should be drawn periodically to monitor, eg., lithium levels, thyroid, kidney function. Close clinical supervision is essential to observe a pt's functioning and address any side effects, eg. tremor, weight gain which may occur. ...Read more

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Is lithium and lamictal a good combination for. Depression?

Is lithium and lamictal a good combination for. Depression?

For bipolar: This combination makes sense for bipolar depression, but not for unipolar depression. ...Read more

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What to do if I have weird feelings from taking lithium for bipolar/depression?

What to do if I have weird feelings from taking lithium for bipolar/depression?

Please let: your physician/ psychiatrist know how you are feeling. Be specific when describing this and /or any side effects. Take care. ...Read more

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S lithium the best treatment for bipolar depression?

S lithium the best treatment for bipolar depression?

Yes: Lithium, lamictal, and atypical antipsychotics (seroquel, zyprexa, risperdal, geodon, (ziprasidone) abilify) are probably the first line agents for bipolar depression. Antidepressants can make bipolar depression turn into bipolar mania in some people, and should probably be reserved for situations in which the first line agents have failed. ...Read more

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Does lithium work also for bipolar depression?

Does lithium work also for bipolar depression?

Lithium : Lithium is a mood stabilizer that works for bipolar disorder to lessen extremes of mania and depression. "Bipolar depression" is a term that doesn't really describe anything. ...Read more

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How is the success of Lithium Therapy in unipolar treatment resistant depression?

How is the success of Lithium Therapy in unipolar treatment resistant depression?

It may help...: Lithium has a fair amount of research behind it--it is a known strategy to augment antidepressant treatment and to help prevent recurrence. Patients seem to be afraid of Lithium; but for many people it can be a life-saver. ...Read more

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Lithium (Definition)

Chemically, lithium is a light, soft, alkali metal. It's very highly reactive, so that in nature it's only found in compound form. It's useful in batteries. As a medication, Lithium Carbonate and citrate can be used to stabilize mood in people with bipolar disorder. In these people it can help with both mania and depression. Blood level monitoring is ...Read more