lithiem read please

[jimgreg]

i was on 900mgs in 2008 went toxic cuz i got sick..and my PO went way down..also was 2xx,s the toxic rate3.. toxic reff range widow is 1.0-1.5...

well i went to my new pdoc friday she talked to me awile..added bipolar 1..im already bp 2  and ocd sad gad..so i explained to her that 5 meds in the past did nothing..she asked about depakote i said i been turned down on it cuz im on blood thinners and my last pdoc said i couldnt take it for the same reasons....

so then she asked me how lithiem did me b4 i went toxic..i said it was a great mood s...so she says lets try this again at lower starting dose of 225mgs 7 days  then add 225 mgs twice aday..then get labs in 2 weeks..ok she knows im a medcal advocate..but we got 45 min together,,i got home and realized i also am on ( LISONPRIL 40 MGS ADAY!!) THIS HOLDS BACK ON LITHIEM FROM EXCREDDING THREW THE REANAL.......SO IM KINDA WEARY ABOUT THIS WHOLE TAKING IT....ALL ,MY KIDNEY FUNCSHIONS ARE GOOD CRETINE IS 1.1  GFR IS ABOVE 60 POTTISSUM IS 4.3  SODIUM IS 142....ETC GOOD..

                           NEED INPUT....

[Xila31]

I would say that because you've had difficulty with lithium in the past and are on a lot of other meds as well, it could be in your best interest to see a pharmacologist psychiatrist instead of a regular psychiatrist. They have a specific name I can't think of, but they are a psychiatrists who are trained just like pharmacists as well so they really know their meds.

[jimgreg]

cvs is who advised me...

[lindahand]

I agree with rmevans that the way to go is to see a pharmacist. They are far more trained in interaction that the doctor, and what they don't know I find they look up. If the prescriptions interact they can phone the doctor and request a change (at least they can in Canada)

[rmevans]

I don't know much about your other situations, but make sure you tell your doctor about the Lisonpril.  Also ask your pharmacist about the interactions between all your meds.   They will know even more than the doc.

You can get some info at https://www.drugs.com/mednotes.html.  They have a drug interaction checker.  Just list out all the prescription and not prescription meds and supplements and it will give you an idea of the interactions that may cause you problems.

A pharmacist is your best be though.