Happy to be back, being an attending now has some drawbacks like less time lol, but I'm happy to have completed my training, appreciate the comments as always
Thats going to be another video for sure. Toxicity is a problem and while lithium reduces completed suicide it can also be a risky medication to prescribe in patients with a history of overdose attempts
My relationship with lithium is complicated but strong. I love love love what it does to my brain, my brain has never been as calm and reasonable as it is now. Also, I am able to actually fall asleep like most humans and my quality of sleep is great which is amazing because for as long as I can remember my sleeping has always been tenuous at best. I have been on lithium for a year. With that said, lithium has a lot of side effects....a LOT. However, some side effects can be mitigated with lifestyle changes. I've actually lost weight since I started it. I keep taking lithium despite my simmering resentment towards it because manic symptoms are far more uncomfortable than lithium's side effects. Mania is far scarier than lithium.
I think it should still be considered the gold standard for bipolar disorder. For over ten years I was put on EVERYTHING but Lithium. I was diagnosed with chronic mixed state rapid cycling bipolar disorder. In actuality it's more like chronic mixed state ultra radian cycling bipolar disorder. Given this they didn't try me on Lithium, it was considered old and outdated. In the end it was Lithium that actually worked, not the other garbage I was put on needlessly. I'm angry that I was put on brain shrinking/damaging antipsychotic medications, without my knowledge regarding this effect, which ruined my intellect at multiple levels including my creativity. It was only after I switched to the Lithium that I was able to have acceptable and adequate symptom control. I now feel normal but I still feel angry and sad about all the brain damage I must have done by taking the antipsychotics for so long, mainly the lurasidone for about four years before switching to Lithium. Lithium completely got rid of my suicidal thoughts and feelings and stabilized my mood. I also recovered a lot of my cognitive function. Will the brain damage/shrinkage from the antipsychotics be permanent or can it be reversed? I can't find any reliable information on this. I find it outrageous that we the patients are NOT told about this effect before being prescribed this stuff. Why is this brain damage/shrinkage not listed as a side effect of antipsychotic drugs on the inserts? Please explain this too me.
I was prescribed Lithium as an adjunct treatment to an antidepressant. It gave me terrible tremors. I could barely write my name due to how badly it made my hands shake.
I would talk to your doctor about options. In my training Propanolol is the treatment of choice for lithium induced tremor but I would make sure you have an up to date blood level to be sure it's not toxicity. blood levels should be checked every 1-2 weeks when titrating and then every 2-3 months, once stable levels only need to be checked every 6-12 months. Hope this helps, appreciate the comment
Unfortunately no good evidence for it although everyone needs about 5 mg per day which can usually be had from food. I do know some people who like to supplement with it for that reason. I’m a bigger fan of just using lower doses of lithium carbonate
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Glad to see you back!
Happy to be back, being an attending now has some drawbacks like less time lol, but I'm happy to have completed my training, appreciate the comments as always
Glad you're back! Hugely high yield for early stage learners.
Hope toxicity work-up/symptomatolgy is covered in the videos
Thats going to be another video for sure. Toxicity is a problem and while lithium reduces completed suicide it can also be a risky medication to prescribe in patients with a history of overdose attempts
My relationship with lithium is complicated but strong. I love love love what it does to my brain, my brain has never been as calm and reasonable as it is now. Also, I am able to actually fall asleep like most humans and my quality of sleep is great which is amazing because for as long as I can remember my sleeping has always been tenuous at best. I have been on lithium for a year. With that said, lithium has a lot of side effects....a LOT. However, some side effects can be mitigated with lifestyle changes. I've actually lost weight since I started it. I keep taking lithium despite my simmering resentment towards it because manic symptoms are far more uncomfortable than lithium's side effects. Mania is far scarier than lithium.
I think it should still be considered the gold standard for bipolar disorder. For over ten years I was put on EVERYTHING but Lithium. I was diagnosed with chronic mixed state rapid cycling bipolar disorder. In actuality it's more like chronic mixed state ultra radian cycling bipolar disorder. Given this they didn't try me on Lithium, it was considered old and outdated. In the end it was Lithium that actually worked, not the other garbage I was put on needlessly. I'm angry that I was put on brain shrinking/damaging antipsychotic medications, without my knowledge regarding this effect, which ruined my intellect at multiple levels including my creativity. It was only after I switched to the Lithium that I was able to have acceptable and adequate symptom control. I now feel normal but I still feel angry and sad about all the brain damage I must have done by taking the antipsychotics for so long, mainly the lurasidone for about four years before switching to Lithium. Lithium completely got rid of my suicidal thoughts and feelings and stabilized my mood. I also recovered a lot of my cognitive function. Will the brain damage/shrinkage from the antipsychotics be permanent or can it be reversed? I can't find any reliable information on this. I find it outrageous that we the patients are NOT told about this effect before being prescribed this stuff. Why is this brain damage/shrinkage not listed as a side effect of antipsychotic drugs on the inserts? Please explain this too me.
it was a awesome video again
appreciate it, lithium is a really interesting medication a lot to say on the topic
I was prescribed Lithium as an adjunct treatment to an antidepressant. It gave me terrible tremors. I could barely write my name due to how badly it made my hands shake.
I would talk to your doctor about options. In my training Propanolol is the treatment of choice for lithium induced tremor but I would make sure you have an up to date blood level to be sure it's not toxicity. blood levels should be checked every 1-2 weeks when titrating and then every 2-3 months, once stable levels only need to be checked every 6-12 months. Hope this helps, appreciate the comment
@@ShrinksInSneakers I took 300mg of lithium for 5 weeks and my serum levels were less then 0.1 why is that?
@@hammerdown4746 dose is too low most people need 600 mg to 900 mg per day and we are looking for a level of 0.8-1.0 in most cases
Dr Rossi , what do you think about lithium orotate ? Does it work ?
Unfortunately no good evidence for it although everyone needs about 5 mg per day which can usually be had from food. I do know some people who like to supplement with it for that reason. I’m a bigger fan of just using lower doses of lithium carbonate
Thank you for your answer . I really like your way thinking and explaining things
@@marieb9961 No problem, appreciate you checking the videos out and helping me spread the word