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tylerb

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Lithium and tremors
Oct 12^th, 2009 at 2:52pm

Ok.....a little, maybe a lot of frustration. Been in a cycle since early August. Currently on 900 lithium and 480 verapamil. Having a lot of trouble at night (3 to 5 hits), using oxygen 90% of the time and imitrex when it gets real bad. Just got a call from the doc increasing Lithium to 1200 and trying a short dose of midirol(??sp). Those of you on lithium, what are you taking for the tremors?? If you have any other advice.......I sure would take it!!

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Brew CH.com Sponsor CH.com Alumnus Offline Posts: 14163	Re: Lithium and tremors Reply #1 - Oct 12^th, 2009 at 3:12pm Hand tremor is one of the first signs of lithium toxicity. The idea is to take an amount that's theraputic (i.e., keeps the headaches away) without reaching a toxic level. I don't think the idea is to take something to counteract a symptom that's telling you you're taking too much. If that makes sense.
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tylerb CH.com Newbie Offline I Love CH.com! Posts: 18	Re: Lithium and tremors Reply #2 - Oct 12^th, 2009 at 3:35pm Makes sense......I haven't had much experience with lithium. Did blood work the other day and my lithium level was good. Dr. did say he was going to give me something for tremors....since my blood work was good.
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Brew CH.com Sponsor CH.com Alumnus Offline Posts: 14163	Re: Lithium and tremors Reply #3 - Oct 12^th, 2009 at 3:39pm I haven't heard of that, but as long as he's monitoring your serum lithium levels, I hope it works for you!
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Bob Johnson CH.com Alumnus Offline "Only the educated are free." -Epictetus Posts: 5965 Kennett Square, PA (USA) Gender:	Re: Lithium and tremors Reply #4 - Oct 12^th, 2009 at 4:19pm Since you have a doc who is paying attention I'd trust him. It's not uncommon to have some side effects from meds but only an issue if the doc doesn't know and does not inform you about risks/outcome, etc.
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Marc Ex Member Gender:	Re: Lithium and tremors Reply #5 - Oct 12^th, 2009 at 10:58pm Years ago, Jonny reported hand tremors when he was on Lithium. He had them for years without reaching toxic levels. Marc
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Guiseppi CH.com Moderator CH.com Alumnus Offline San Diego to Florida 05-16-2011 Posts: 12063 SAN DIEGO, CALIFORNIA USA Gender:	Re: Lithium and tremors Reply #6 - Oct 13^th, 2009 at 12:21am I use lithium when on cycle, at 1200 mg a day. I get a small degree of hand tremors, it's only noticeable if I try and hold my hand out and keep it still. Not significant enough that I ever worried about it. I do not combine the verapamil as the lithium still does the trick for me. Joe
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burnt-toast

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Re: Lithium and tremors
Reply #7 - Oct 13^th, 2009 at 6:09pm

I also take 1200mg Lithium Carbonate daily with minor hand tremors - however my serum levels have remained good.

Its important to work with your Neurologist to find a level at which the tremors are more controlled. Also make sure that your Neurologist schedules you for routine blood work.

Doing some research on your own is also valueable however your Neurologist shoud be the go-to person for assistance.

The only Lithium intoxication problem I had was the result of excessive sweating. Just something to be aware of if you sweat a lot on the job/hobbies.

burnt-toast
(Tom)

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tylerb CH.com Newbie Offline I Love CH.com! Posts: 18	Re: Lithium and tremors Reply #8 - Oct 13^th, 2009 at 8:59pm Well....I had my first night with 1200 of lithium (was at 900) and my first dose of medrol. For the first time in a couple weeks I was under three hits. Actually felt good to get some sleep!
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Marc Ex Member Gender:	Re: Lithium and tremors Reply #9 - Oct 14^th, 2009 at 9:19am Good news. A short course of Pred (your Medrol dose pack) always gives me a break for at least a few days. Marc
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BMoneeTheMoneeMan CH.com Alumnus Offline In remembrance of KingCazman. RIP Posts: 2674 Portland, OR	Re: Lithium and tremors Reply #10 - Oct 14^th, 2009 at 10:03am One of the listed side effects of verapimil is tremors.
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Brew CH.com Sponsor CH.com Alumnus Offline Posts: 14163	Re: Lithium and tremors Reply #11 - Oct 14^th, 2009 at 11:52am BMoneeTheMoneeMan wrote on Oct 14^th, 2009 at 10:03am: One of the listed side effects of verapimil is tremors. And that's the first time I've ever heard of that. Today's a day of firsts, I guess.
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TarHeel-blues CH.com Veteran Offline I Love CH.com! Posts: 132 matthews nc Gender:	Re: Lithium and tremors Reply #12 - Oct 16^th, 2009 at 9:41pm i had really bad tremors when i was taking 2000mg of depakote a day,,but on 1200mg of lithium past 2 years i cant say ive noticed any,,but now its 1500mg and 480mg of verapimil so ill let you know..i think i probably just have learned to cope with it so i probably dont notice the tremors anymore jason
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