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Bill
Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience:  35 years treating individuals, couples, families with mental health and substance abuse prob's
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I am on lithium at 800mg I have reduce it to 600. I plan to

Customer Question

I am on lithium at 800mg I have reduce it to 600. I plan to go off medication will you please advice.
Submitted: 1 year ago.
Category: Mental Health
Expert:  Bill replied 1 year ago.

Bill :

Hello- Thank you for asking the question. I have over 30 years of experience working with individuals, couples and families & am happy to reply.

Bill :

I am happy to help you with this........

Bill :

Are you available to chat now?

Bill :

If you are going to taper off of Lithium you should do so under medical supervision as you want to avoid any adverse side effects that can occur if you go off to rapidly.

Bill :

The process will take several weeks to a couple of months depending on how quickly your doctor wants you to get off of the carbonate acid. You should prepare yourself for the possibility of withdrawal symptoms. If that occurs, then you may need to temporarily increase your dosage again for a few days or weeks until your body adjusts, and then continue with the slow tapering of the medication.

Bill :

The safest way to taper off is Lithium 100 mg per month, however, everyone is different and this can be done more rapidly as long as you have approval from your GP or Psychiatrist.

Bill :

I see you have entered chat- Why are you going off the medication?

Customer:

Iam taking lithium over for over 26years I feel forgetful at times and I worry about my kidnees and liver.

Bill :

I understand, and your Doctor is on board with this?

Bill :

Still there?

Customer:

yes Iam here

Bill :

I completely understand your reasons- Is your Doctor in agreement with you or are you trying to do this on your own?

Customer:

My doctor dont agree with me but I am determine to do it my self.

Bill :

I understand- The most important thing is to do it slowly- I would not reduce more than 100mg per month- otherwise the risk of rebound Depression or Mania increases.

Bill :

Does that make sense?

Customer:

at present I take 600 mg a night so I shall reduce by 200mg every month. I will tell my GP my intensions. I also take 10mg of aripiprazole that can sort out the manias if any.should I increase this medication.

Customer:

it is imposible to reduce by 100mg since the tablets Iget are 400mg.

Bill :

I understand- 200mg is reasonable. One can increase aripiprazole to 30 mg per day but you should do this gradually .

Bill :

Is there anything else I can help with today?

Bill :

If so, please feel free to ask-------

Bill :

Otherwise- I wish you the very best

Customer:

No thank you

Bill :

I APPRECIATE YOUR POSITIVE RATING

Bill :

You are most welcome

Bill :

You will have a complete copy of this chat in email.

Bill :

Again, YOUR POSITIVE RATING IS APPRECIATED SO THAT I RECEIVE CREDIT FOR MY TIME.

Bill, LCSW, Consultant, Expert Witness
Category: Mental Health
Satisfied Customers: 3705
Experience: 35 years treating individuals, couples, families with mental health and substance abuse prob's
Bill and other Mental Health Specialists are ready to help you

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