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Doctor insights on: Switching From Lithium To Lithium Er

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If you take lithium in the morning can you switch it up to night for one time to get an accurate 12 hr blood draw the next day?

If you take lithium in the morning can you switch it up to night for one time to get an accurate 12 hr blood draw the next day?

Try night time dose: A one-time night dose of lithium 12 hours before blood level the next morning should give approximate lithium level to guide your doctor. Be sure to discuss first with prescribing doctor so he/she can properly interpret your lithium level. Hope this helps. ...Read more

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


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What can I expect switching from bystolic (nebivolol) 5 mg to propranolol ER 60 mg? How long before I get adjusted?

What can I expect switching from bystolic (nebivolol) 5 mg to propranolol ER 60 mg? How long before I get adjusted?

Depends: Everyone responds differently to medications. The bystolic (nebivolol) is a b1 selective drug. This limits side effects. The propranolol is a non selective beta blocker. This may be better at lowering blood pressure but may have more side effects. Depends on the patient and different responses to medications, the reason for the switch, the insurance coverage etc. ...Read more

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I may have slight lithium toxicity. Is this worth a visit to the er?

I may have slight lithium toxicity. Is this worth a visit to the er?

Depends: What do you mean by this? If you are having symptoms that are consistent with lithium toxicity then it is very important to do 2 things: hydrate well (i.e. Drink plenty of water) and go to either an er or urgent care center. If you just think you took too many pills by accident but have not symptoms of toxicity, you should be ok but need to check your levels soon and talk to your doctor soon too. ...Read more

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I just saw my med doctor and she mentioned switching me from IR Xanax (alprazolam) to ER Xanax (alprazolam), what would be the difference?

I just saw my med doctor and she mentioned switching me from IR Xanax (alprazolam) to ER Xanax (alprazolam), what would be the difference?

Convenience: The ER form has a longer duration of action, so, you take it less often. Also, prolongation of action can eventuate in more consistent serum levels, so ups and downs of activity are blunted, and you get a smoother end result, with potentially less side effects. ...Read more

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Docs are switching me from toprol (metoprolol) XL 12.5 to propranolol ER 60mgs and I'm worried my BP and pulse will drop to low? Mission is to help w anxiety.

Docs are switching me from toprol (metoprolol) XL 12.5 to propranolol ER 60mgs and I'm worried my BP and pulse will drop to low? Mission is to help w anxiety.

Probably Fine: If you are basically healthy (no heart or lung problems) this should be fine, however I am a bit curious about the choice of treatment. Have you had a diagnostic evaluation of your anxiety? Beta blockers help with the physical symptoms of anxiety but may not help the cognitive (worried thoughts) symptoms. ...Read more

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Why would a boot length and crew length sock feel tight (er) on my right leg than my left? Switching socks from L to R and R to L causes same thing.

Why would a boot length and crew length sock feel tight (er) on my right leg than my left? Switching socks from L to R and R to L causes same thing.

Your right leg: May have a different girth than your left, for example it may be slightly swollen compared to the opposite side. ...Read more

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When switching from 50mcg (every 72 hours) fentanyl patch to morphine sulfate er. - what dosage is equivalent? Roughly. Thank you :)

When switching from 50mcg (every 72 hours) fentanyl patch to morphine sulfate er. - what dosage is equivalent? Roughly. Thank you :)

Great Questions: 50mcg is roughly equivalent to 120 mg a day of morphine. However, when switching most doctors will reduce by 50% because of incomplete cross tolerance. ...Read more

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What doses are available. In lithium carbonate er?

What doses are available. In lithium carbonate er?

Lithium carbonate ER: Lithium carbonate extended release is available in 300mg & 450mg. ...Read more

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Can you take 900 mg of lithium carbonate ER at once? 2 450 ER tabs at once? Dr says yes, pharmacy says no

Can you take 900 mg of lithium carbonate ER at once? 2 450 ER tabs at once? Dr says yes, pharmacy says no

Give doc/pharm: Usual Adult Dose for Bipolar Disorder
Adult doses for bipolar disease
Usual dose: 1800 mg/day.
Extended release: 900 mg in the morning and nighttime or 600 mg in the morning, afternoon, and nighttime.
Regular release: 600 mg in the morning, afternoon, and nighttime.
Maintenance dose: 900 to 1200 mg/day.
Extended release: 450 mg/600mg in the morning and nighttime. See drug. Com ...Read more

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Ok to take baclofen 10mg with lithium carbonate ER 450mg??

Ok to take baclofen 10mg with lithium carbonate ER 450mg??

It depends: It depends on the underlying conditions for what these drugs are prescribed;
Consult with the doctor that prescribes them; ...Read more

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Can you take lithium carbonate ER without food or milk? Is that only for those who get upset stomachs taking it??

Can you take lithium carbonate ER without food or milk? Is that only for those who get upset stomachs taking it??

Best to take: With milk or food as it is easier on your stomach. Do not chew the capsule. There are many drugs that are not compatible. Check to see if is safe to take with other medication. Avoid dehydration as your kidneys are at risk for injury. Make sure you get your levels checked so they stay in a safe range. ...Read more

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I take lithium carbonate ER 3x a day. I also take tramadol 2 tabs 2x a day. I never had any reaction with the two meds, this ok combo??

I take lithium carbonate ER 3x a day. I also take tramadol 2 tabs 2x a day. I never had any reaction with the two meds, this ok combo??

There is an: Increased risk of convulsive seizures with doubling up on the 50 mg Tramadol. Lithium does not have the anti-convulsive properties of Depakote, Lamictal or Tegretol which are also used as mood stabilizers. So the combination of Tramadol pill with another tramadol pill carries substantial risk. Plus Tramadol is very addicting. ...Read more

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I take lithium ER 450 3x a day for bipolar 2. I also take cymbalta (duloxetine) 30 mg per day for severe depression. This combination ok to take?

I take lithium ER 450 3x a day for bipolar 2. I also take cymbalta (duloxetine) 30 mg per day for severe depression. This combination ok to take?

Drug interactions: This may increase risk for serotonergic syndrome. (http://www. Drugs. Com/interactions-check. Php? Drug_list=949-2273, 1477-16548). ...Read more

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I take lithium. I've been very dizzy, nausea, lightheaded & have diarrhea. It also feels worse after I drink water. Should I go to the er asap?

I take lithium. I've been very dizzy, nausea, lightheaded & have diarrhea. It also feels worse after I drink water. Should I go to the er asap?

Need blood test: You don't need to rush to the emergency room, but you should contact your psychiatrist to have your lithium level checked. ...Read more

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My Comprehensive Metabolic -Creatinine test results were. 85 in February and in1.05 March. Does my taking Lithium carbonate er cause this? Will retest again at the end of April. My pcp wants me to stop lithium my psychiatrist says no.

My Comprehensive Metabolic -Creatinine test results were. 85 in February and in1.05 March. Does my taking Lithium carbonate er cause this? Will retest again at the end of April. My pcp wants me to stop lithium my psychiatrist says no.

It very well may: Lithium is a very helpful medication but it is very rough on the kidney. It may be helpful to test the urinary concentrating ability, since lithium is rougher on the medulla than other things that might be raising your creatinine. Best wishes. ...Read more

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I'm tapering off of lithium carbonate. I was taking 450 er 2X daily now I take 300 at bedtime. My left eye/ eyebrow is twitching like crazy? Help?!

Lithium effects: I understand your distress.
Lithium is to treat the manic episodes of manic depression. Commend yourself for tapering off of Lithium Carbonate if you did not have manic episodes, or had side effects.

Lithium has many Nervous system effects including Tremors.

See Neurologist for Diagnosis and Treatment

See Psychiatrist for Diagnosis, discuss side effects of Lithium, tapering schedule; Therapy. ...Read more

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How to keep an erection while switching positions?

How to keep an erection while switching positions?

Try not switching: Is it you, partner or both who want to switch positions? Certainly psychologically possible if you are feeling great in original position and don't really wish to switch. Could be that you basically don't like a different position or find it stimulating. Could be due to prolonged erection without ejaculation & are switching to try and achieve orgasm. First try & discuss with partner. ...Read more

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How much should I feed my baby when switching to formula?

How much should I feed my baby when switching to formula?

Basic rule: I find if you offer half as many ounces as the kid weighs in pounds you have a good starting point. If s/he leaves some behind your feed is right. If s/he empties every bottle you can add an ounce at a time until the begin to leave some behind. I don't like going over 8 oz at any feed & will cut back if they start to spit a lot. ...Read more

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I'm switching from hydro to morphine and very scared, any tips?

I'm switching from hydro to morphine and very scared, any tips?

Share your fear: With your doctor. Ask your pharmacist what their thoughts on the medicine and the differences are. Consider joining a support group, or taking someone with you to your doctor session to have a second set of ears listening to what is being said. Sometimes it is too much to take in for one person. Consider addressing anxiety with a mental health professional, to discus at greater length. ...Read more

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Will switching formula hurt r cause problems with a 4 month old?

Will switching formula hurt r cause problems with a 4 month old?

Unlikely: Unlikely that it will be an issue, particularly if you switch from a milk-based to another milk-based formula. ...Read more

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Can switching contacts make your vision cloudy? Should it happen?

Can switching contacts make your vision cloudy? Should it happen?

Yes.: If you switch contact lenses from one company to another, even if they are the same power, there can be some difference in vision due to the lens make up. Generally, the difference should be very small. If the difference is great, the powers need to be checked for correctness. If you switch contact lenses between eyes, your vision will definitely be cloudy unless both eyes have the same power. ...Read more

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Long lasting headache switching from left to right side. What is this?

Long lasting headache switching from left to right side. What is this?

Muscle strain: Try getting a memory foam pillow to support your head. You may end up needing therapy if it does not fix itself on its own. Try moist heat for 15 minuts at a time to loosen them um and massage too. ...Read more

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Switching off of nuvaring back to pills after one day, how do I switch back?

Switching off of nuvaring back to pills after one day, how do I switch back?

Easy: Finish the month of nuva ring, take out at the appropriate time and then start the pack of pills when you would normally insert a new ring. ...Read more

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Will there do a huge difference when switching from toric lenses to spherical?

Will there do a huge difference when switching from toric lenses to spherical?

Depends: Toric lenses are to correct astigmatism. Spherical do not do this. If you have astigmatism and switch from toric to spherical, you simply will have a less clear image. If the astigmatism is small, it might not matter but if it is larger, you might appreciate the clarity from the toric lense. ...Read more

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If androxal get approval can working by switching from androgel to androxal.?

Androxal: Has not been approved and, my opinion only, I would NOT switch even if approved unless your TREATING Health Care Provider suggests it!

Hope this is helpful
Dr Z ...Read more

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What are the benefits of switching from a human premix insulin to an analog premix?

What are the benefits of switching from a human premix insulin to an analog premix?

More physiologic: Which means quicker onset of action, more predictable duration of action also. ...Read more

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What is the equivalent amt of morphime one would need to take day if they r switching from 120mg methadone daily?

What is the equivalent amt of morphime one would need to take day if they r switching from 120mg methadone daily?

It varies by person: Equvalencies when switching from Methadone are tricky. At low doses it is 3:1 so 120 would equal 360. At higher doses of Methadone and with more chronic use- some say that the equivalence can be as much as 10:1 (1200mg) however, there is no such thing as perfect cross tolerance and a starting dose of another opioid should be less than half the equivalent dose followed by quick adjustments. ...Read more