Tim Tam said...
When you say you're not feeling well with the 900 mg of lithium and the anti-depressant Doxepin, do you feel you're too manic and need more lithium to calm your mania down, or maybe too depressed and need more doxepin?
How long have you been diagnosed as bipolar? How long have you been on lithium and an anti-depressant? How long did it take to get your diagnosis right?
I took Doxepin as the generic sinequan antidepressant for years. My psychiatrist said it is an older anti-depressant, which is not used much anymore.
My psychiatrist substituted Mirtazapine antidepressant for the sinequan.
Also, drugs.com questioned the use of doxepin for biopolar, saying:
"It should be noted that Doxepin Hydrochloride Oral Solution is not approved for use in treating bipolar depression."
Whoa! I was taking sinequan anti-depressant first, when the psy. misdiagnosed me as depressed (I was manic-depressed) which sent me into panic attacks because I wasn't being given any Lithium (or other mood stabilizer to calm down the mania which the anti-depressant sent me into).
So after years later finally being diagnosed as bipolar, not just depressed, they simply added Lithium to the sinequan antidepressant. Wrong again! For, as noted above, sinequan is not approved in treating bipolar depression.
So it could be the sinequan that is causing you some problems. Although, I did OK on sinequan and lithium for over 10 years. And, I was told sinequan does have a calmative effect, which helped my anxiety.
You mentioned in an earlier post sometimes taking alcohol, and then not taking your pill(s) that night because of the side affect of the mixing of meds and alcohol. Alcohol I've heard is a depressant, and, not taking your med(s) a day or two a week could cause problems.
Do you stop both meds when you drink, the lithium and the doxepin? Many years ago I took a drink on doxepin, I think it was, and it messed me up so bad I never even thought about taking a drink on medicine.
drugs.com said in talking about Doxepin cautioned psychiatrists about seeing a patient as depressed, and only treating that person for depression, when that person could be manic-depressed:
"Screening Patients for Bipolar Disorder: A major depressive episode may be the initial presentation of bipolar disorder. It is generally believed (though not established in controlled trials) that treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk for bipolar disorder."
I take Doxepin to help me sleep. I was taking Wellbutrin for depression, but I don't think it really helped.
I feel depressed and have ringing in the back of the head, and I suffer from body weakness and pain. When I raised my lithium to 1,200 mg a day, I started feeling better. That's when I did a little research and found out that 900 mg of lithium per day is just a starting dose, and maybe I should be taking about
1,500 mg to 1,800 mg of lithium per day.
I've been diagnosed with bi polar years ago and have been taking 900 mg of lithium per day. I trusted the doctor, but maybe he was wrong, and I should be taking 1,500 mg to 1,800 mg of lithium per day.
I have drunk beer on the meds, but I don't drink at all anymore. It's not worth it.