Patients ask me all the time if lithium is still the best medicine for Bipolar Disorder even though it has been around almost 100 years.The short answer is yes lithium is still the best single medication, but now we have more good medications if a patient doesn’t tolerate lithium and to use in combination with lithium to help it work better.The long answer is that we now have better options for both treating and preventing mania, but our options for treating Lithium is the third element on the periodic table and is mined out of the ground as a yellow salt so it is completely natural. Lithium is also used to treat manic episodes of bipolar disorder.

Coming off of the lithium now and upping Lamictal to 200mg. Lamotrigine (brand name Lamictal) is a seizure medication that has also been approved by the FDA to treat both mania and depression in Bipolar Disorder. Patients ask me all the time if lithium is still the best medicine for Bipolar Disorder even though it has been around almost 100 years. The most common side effect is nausea so it is given extended release forms slow the absorption from the gi tract and with food to further limit the risk of nausea. The slow process for starting lamotrigine makes it difficult to use it for any current mood episode.Lamotrigine is typically added to other medications such as lithium and/or an antipsychotic because of the slow process for starting it. Even when a new patient not on any medication prefers lamotrigine, I still start lithium or an antipsychotic first to stabilize their mood before starting lamotrigine. Any combination of mood stabilizers not including “Boston bipolar brew” an antidepressant Any combination of mood stabilizers that does include “California careful cocktail” an antidepressant Any combination containing ziprasidone (Geodon; “Jiminy Cricket” e.g., zipa-li-do-la; i.e., ziprasidone, lithium, divalproex, and lamotrigine) Lamictal is an anticonvulsant and lithum is an antimanic agent. It worked for my bipolar but I hate lithium acne. What is interesting about the lamotrigine and lithium combination is that, for example, you might start somebody on lamotrigine and if they become a bit hypomanic on it, a relatively small dose of lithium(300 or 600 mg a day) is frequently enough to control the hypomania. The short answer is yes lithium is still the best single medication, but now we have more good medications if a patient doesn’t tolerate lithium and to use in combination with lithium to help it work better. Brand names of lithium include Lithobid and Lithate. Sign up now to get your free guide to finding your Athlete, Engineer, Film Director or Artist Online! Bipolar Disorder: Symptoms, Testing for Bipolar DepressionAnother term that has been previously used for bipolar disorder is ___________________. I make no claim to as to accuracy, completeness, currentness, suitability or validity of any information on this blog and will not be liable for any errors, omissions, or delays in this information or any loses, injuries, or damages arising from its use. Lamictal and lithium belong to different drug classes. Please contact your mental health prescriber for a full discussion of the risks and potential side effects.Also, please leave your thoughts and questions in the comments below.This is my personal blog and website. The information provided here is on an “as-is” basis. Lithium is dissolved in the fluid of the body like an electrolyte so maintaining your hydration level is important to prevent your lithium concentration from getting too high. Scott Carroll, M.D. It is far more common to use combinations of medications at moderate doses that complement each other well rather than pushing single medications to high dose increasing the risk of side effects.It is not unusual for one of my patients to be on lithium, lamotrigine and an antipsychotic. Lamictal is an Serious side effects of Lamictal you should report to your Lamictal (lamotrigine) is an anticonvulsant used alone or in combination with other antiseizure medications for treating certain types of seizures.Lamictal may also interact with hormonal forms of birth Copyright © 2020 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Lamictal and lithium belong to different drug classes. My patients also tend to have minimal side effects because I don’t have to push the dose of any medication very high most of the time.Obviously, this is not complete discussion of the risks or potential side effects of any of the medications mentioned here.

I also had to stop celexa for almost the same reasons, and so far lamotrigine's provided me with all the antidepressant effect without the nasty side effects a lot of people with bipolar get with the standard antipressants.

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