system
Should I ask the psychiatrist to discontinue Lithium prescription and increase Depakote as now I am cured of renal insufficiency?
human
I am a 58 year old white male. My BUN is 18. My Creatinine is 1.5. My GFR is 48. I have been told this means I have renal insufficiency. According to the WebMD article you cannot regain kidney function that you have lost. I am currently taking  600mg Lithium Carbonate. I went down from 900mg. After I did this my nephrologist told me it was cured. Now he has retired and I do not know if I should ask my psychiatrist to discontinue the lithium altogether and increase my Depakote. What do you think?
gpt
hithanks for using healthcare magicI think there need to shift to other mood stabilizer. In renal failure, lithium dose is decreased which has already done in ur case. If u r maintaining well on same dose, then keep taking it. Just regular get ur serum lithium done. Level should less than 1.0 mmol Li/l,. it would decrease the chances of lithium intoxication. Rest u can discuss with ur psychiatrist. Thanks