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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible For Hypersensitivity For Lithium Carbonate Taken As Mood Stabilizers?

I am 35yo and have suffered from bipolar 2 my whole life. For the last 5 years i have been put on several mood stabilizers and had bad reactions to most and one that stopped working at highest dose for my weight (126lbs) I just started lithium 72 hours ago @300mg 2x day. Everytime I take it I vomitt even when taking it after a meal. Also it is hard to swallow after taking it and I get itching in the throat and in the ears when I take it. I also have difficulty focusing for abput 3 hours after I take it and cannot even walk around the house without losing ballance. I have had allergic reactions to depakote and lamictal that started this same way. Is it possible I could be showing hypersensitivity to the lithium carbonate this early? The symptoms do seem to subside some if I take a bennadryl.
Thu, 27 Feb 2014
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Psychiatrist,  's  Response
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
yes the adverse effects can come this early and can come with the first dose as well. You need to shift the medications. You have mentioned that you have not tolerated valproates and lamictal. That keeps you an option of carbamazepine and oxcarbamazepine.
Also an option of quetiapine is also good as a mood stabilizer and antipsychotic. You may discuss these options with your psychiatrist and can consider switching the drug.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy
                                        
Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
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Is It Possible For Hypersensitivity For Lithium Carbonate Taken As Mood Stabilizers?

Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. yes the adverse effects can come this early and can come with the first dose as well. You need to shift the medications. You have mentioned that you have not tolerated valproates and lamictal. That keeps you an option of carbamazepine and oxcarbamazepine. Also an option of quetiapine is also good as a mood stabilizer and antipsychotic. You may discuss these options with your psychiatrist and can consider switching the drug. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.