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  • BDD Moderators: Keif’ Richards | negrogesic

Lithium

datribbz

Greenlighter
Joined
Oct 26, 2022
Messages
1
I am not bipolar. Yet my doctor prescribe it off label to see if it may help me function. (Function, what does that even mean?) SO my question is what should I expect from taking this? I take Adderall 20 3xdaily. I also take Ativan 2 mg at night to rest (with prosazean to help with the terrors.) With the lithium, I am prescribed 600mgs 2xdaily. I am not bipolar. What should I expect from the lithium? Will I feel better? Worse? Sick? Just need an answer to jive with what I may feel.
 
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Lithium supports B12 passage across cell membranes, particularly with neurons. I almost wonder if you would benefit from taking a sub-lingual B complex, with a good daily dose of B12.
 
I am not bipolar. Yet my doctor prescribe it off label to see if it may help me function. (Function, what does that even mean?) SO my question is what should I expect from taking this? I take Adderall 20 3xdaily. I also take Ativan 2 mg at night to rest (with prosazean to help with the terrors.) With the lithium, I am prescribed 600mgs 2xdaily. I am not bipolar. What should I expect from the lithium? Will I feel better? Worse? Sick? Just need an answer to jive with what I may feel.
Did your Dr give you any rationale for doing this?

Presumedly you have described to your doctor problems you are having in some part of your life - “function” in this context means be able to do things at an appropriate or desired or benchmark level.

Function for some people is just get out of bed, bathe, and eat each day. For others it might be sustain employment. Or parent properly for dependent children. It’s pretty variable.

Do you have goals about changing how your are living life?
 
I was once given lithium and I'm not bipolar. It's one of those medications doctors throw at you if you continue to complain about symptoms and the current medication isn't working.

I noticed some benefits of it, but found the side effects were annoying. Mainly tremors and stomach pain. It can also be dangerous to mix with certain drugs.
 
I love lithium. I was put on it for long term major depression with suicide attempt that responded poorly to other treatments.

I think it gets a bad wrap. That being said it is a SERIOUS medication. Are you getting blood work? I get a lithium level so I can stay on the lower side of the therapeutic window. When I first went on it my dose was too high and I wasnt overdosing but on the higher end of still therapeutic It gave me mild hand shakes.

I think you should expect nothing. Because that's why I love it. Unlike when I take antipsychotics I don't feel anything. However since being on it many years when I look back while this doesn't prove causation my hospital, psych stays, depression have drastically reduced and my suicide attempts and thoughts have stopped.

It's hard to feel the absence of something. But I feel pretty ok but still feel normal range of emotions vs sedated.


I would ask for clarification on what they mean by function
 
Yes, i was on it years ago when first diagnosed bi-polar. It’s still a first-line treatment for controlling mania.

I remember having to have very regular liver function tests to monitor for potentially permanent side-effect damage there.
 
Yeah, Lithium (so called mood stabilizers in general) are drugs the docs throw at you when the first line treatments failed. I was once interested in it because on paper it sounds good, enhancing serotonin, stabilizing cell membranes and whatnot but in reality I heard a lot of bad anecdotes about it. I remember somebody with legit manic/bipolar who had his bladder or kidneys fucked up from decades on lithium and always smelled a bit like pee. But that's an extreme case probably, and I read there's a med which you can take along the lithium, if it should work for you well enough for wanting to stay on it, to prevent kidney damage, afaik some diuretic but I forgot which specific one it was. Lithium absolutely requires blood level monitoring and also you to be quite strict about drinking the same amount of liquids every day and more during hot periods, as lithium levels are dependent on how much you drink and it's got a narrow therapeutic window.

That said, there's evidence that lithium works way below therapeutic levels, scientists found an inverse relation between lithium levels in drinking water and suicide rates. There's lithium orotate sold by nootropics vendors for that. But you won't feel any acute effects from low dosages, even therapeutic ones shouldn't be felt too much. It's more supposed to work in the background.

I've never been on lithium but all the other stabilizers, lamotrigine, sodium valproate and carbamazepine. I'm not bipolar, not manic either and they all had just side effects, there were no beneficial effects besides some funny interactions specially from sodium valproate which turned cigarettes into something very euphoric, lol. The easiest one to tolerate and also the one which I'd recommend you when you're not bipolar is lamotrigine because it's said to be the only one which protects against unipolar depression as well. Needs to be tapered ciarefully because of potential allergic reactions but it isn't toxic to the organs, its molecule is related to fructose if I remember correctly.

If you want something which you can feel and is potentially pleasurable then I can only recommend ketamine therapy. It works like a charm against depressive thoughts and suicidality but afaik it's very expensive in the US, don't know whether some health insurances cover it or not.
 
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That said, there's evidence that lithium works way below therapeutic levels, scientists found an inverse relation between lithium levels in drinking water and suicide rates.
It is neither a BL rule or a BDD rule..but personally I reckon it;’s a good idea to provide a legitimate source when making statements in the form of “science/research shows X” like this. But that’s just me…because I can’t help fact checking them…

On this, there is no shortage of interesting research to point to either: https://www.frontiersin.org/articles/10.3389/fpubh.2022.805774/full

I had no idea. Thanks. Very interesting.
 
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