Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Internet Search
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
What's new
Search
Search
Search titles only
By:
New posts
Search forums
Menu
Log in
Register
Install the app
Install
Forums
Parent Support Forums
General Parenting
Sad, bummed, help...
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Reply to thread
Message
<blockquote data-quote="smallworld" data-source="post: 298360" data-attributes="member: 2423"><p>First, I believe, but am not certain, that Lithium Carbonate may be the generic version of Lithium, and I have read numerous anecdotal cases of kids not doing well on it. I have heard (from my CABF buddies) of kids needing to be on either Lithobid or Eskalith to do well. You need to do your homework on this one, Toto.</p><p> </p><p>Second, to my way of thinking, treating someone subclinically, no matter their age, is just as bad as not treating them at all. K has an illness. If she had cancer or diabetes, you would treat it all the way, no questions asked. The studies I've read (and I'd be happy to read any studies you want to point me to) indicate that as monotherapy, Lithium blood levels need to be in the 0.8 to 1.2 range to be effective. If you're not hitting that level, you can't judge whether Lithium is working or not for K. I've read that subclinical levels of Lithium are helpful as adjunctive (as a second mood stabilizer) treatment for BiPolar (BP) or as adjunctive (in addition to an SSRI) treatment for refractory depression. But certainly not as a single mood stabilizer (APs don't count).</p><p> </p><p>Third, if K is still hallucinating, she either needs a higher dose of Abilify, a different AP or a second AP. Some kids with severe psychosis need a combo of an atypical antipsychotic and a typical antipsychotic to achieve stability.</p><p> </p><p>Fourth, diagnosis does matter. According to <em>Essential Psychopharmacology: The Prescriber's Guide</em> By Stephen Stahl, "Lithium is not a convincing augmentation agent to aytpical antipsychotics for the treatment of schizophrenia."</p><p> </p><p>Fifth, if I couldn't stabilize my child, I'd either take her to Meridell in Texas or NIMH in Maryland. I think it's more important to get answers and achieve stability than keep a child at home.</p><p> </p><p>Hugs. We're all here for you and K.</p></blockquote><p></p>
[QUOTE="smallworld, post: 298360, member: 2423"] First, I believe, but am not certain, that Lithium Carbonate may be the generic version of Lithium, and I have read numerous anecdotal cases of kids not doing well on it. I have heard (from my CABF buddies) of kids needing to be on either Lithobid or Eskalith to do well. You need to do your homework on this one, Toto. Second, to my way of thinking, treating someone subclinically, no matter their age, is just as bad as not treating them at all. K has an illness. If she had cancer or diabetes, you would treat it all the way, no questions asked. The studies I've read (and I'd be happy to read any studies you want to point me to) indicate that as monotherapy, Lithium blood levels need to be in the 0.8 to 1.2 range to be effective. If you're not hitting that level, you can't judge whether Lithium is working or not for K. I've read that subclinical levels of Lithium are helpful as adjunctive (as a second mood stabilizer) treatment for BiPolar (BP) or as adjunctive (in addition to an SSRI) treatment for refractory depression. But certainly not as a single mood stabilizer (APs don't count). Third, if K is still hallucinating, she either needs a higher dose of Abilify, a different AP or a second AP. Some kids with severe psychosis need a combo of an atypical antipsychotic and a typical antipsychotic to achieve stability. Fourth, diagnosis does matter. According to [I]Essential Psychopharmacology: The Prescriber's Guide[/I] By Stephen Stahl, "Lithium is not a convincing augmentation agent to aytpical antipsychotics for the treatment of schizophrenia." Fifth, if I couldn't stabilize my child, I'd either take her to Meridell in Texas or NIMH in Maryland. I think it's more important to get answers and achieve stability than keep a child at home. Hugs. We're all here for you and K. [/QUOTE]
Insert quotes…
Verification
Post reply
Forums
Parent Support Forums
General Parenting
Sad, bummed, help...
Top