Appreciate your writing back with the updates.
I now do rem. some talk of Lithium and thyroid problems.
On verywell.com it says:
"Patients with bipolar disorder are often surprised to learn that thyroid problems are a common side effect of the drug lithium. Lithium is a common treatment for bipolar disorder, which is sometimes referred to as manic depression.
"Experts don't understand the exact mechanism and process, but lithium can have an effect on your thyroid, and prevent it from functioning properly. Lithium is known to cause goiter (an enlarged thyroid), as well as hypothyroidism (an underactive thyroid), and chronic autoimmune thyroiditis, an inflammatory condition of the thyroid gland."
Yeah, I was wondering how she was going to treat herself. So, she does have a psy.
You said, "The vivid dreams certainly started after taking the lithium (400mg)." I never had that with taking Lithium.
You said, "I only saw one manic episode immediately after her last low."
You said she was taking 400mg of Lithium. I'm taking 700mg of Lithium a day.
If she still had a manic episode, my amateur guess is she might have to up her Lithium. Also, with two downs, my amateur guess she might have to take an anti-depressant. Pure guesswork.
As a side note, I happened to have an appt. with my psy. today, and she was reading from my latest bloodwork pages, and said my Lithium was in a satisfactory range, so I told her about your situation and ask my psy. "What's the acceptable range for Lithium that's supposed to be in your system for it to work effectively?"
I said, "Write it down. I want to tell that guy the numbers."
She wrote it down. Her Lithium level is supposed to be"0.50 to 1.00". Too little, and she'll be manic; too much, you don't want that either.
Do I give complete coverage or what?
I now see what you were saying about the Lithium and thyroid; sounds like, as you mentioned, she might have to try something else beside the Lithium.
Again, thanks for writing back with this update.
Let us know how she's doing.