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What doses of lithium have you found effective in reducing suicidal ideation?

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Psychiatry · Private Practice
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For depression augmentation in patients who have non-bipolar states, I generally use 150-450 mg (low-dose lithium). The blood levels usually range below therapeutic for bipolar, but the low-dose lithium can help reduce SI without too many side effects. I still watch for issues of thyroid and kidney ...

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Psychiatry · UT Southwestern School of Medicine
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I use 300 mg at night, and it has been very effective for reducing suicidality.

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Psychiatry · Private Pratice
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Even microgram doses in the drinking water bring down rates of suicide. Low doses work, e.g., 150 mg. It's patient-dependent. I'm curious if anyone has tried compounding doses lower than 150 mg.

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Psychiatry · Next Step 2 Mental Health
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Here's an analysis I included in a podcast series on lithium for those who are interested. Not every piece of evidence is going to back the same finding for any given clinical question; there seems to be almost always 2 debating sides on most issues.

I think you could create a data set that shows wh...

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Psychiatry · Fairfax County Government
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It seems it's more about time on it versus the dose of it. Not sure if there are any studies that address this.

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Psychiatry · Private Practice
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I've often wondered about this. I tend to vary between 300 to 600 mg a day, which is the same dose range I use for augmenting antidepressants, but I don't have good evidence that this is better than 150 mg a day or some other strategy. Obviously, in Bipolar I, it makes sense to max out the lithium, ...

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