Q: Questions re. Switching to Orotate
I have read so much about Orotate and you have shown excellent documentation as
well. So I am writing to let you know I have plans to take oratate as soon as
I can, but what the situation is is that I am currently taking Lith Carbonate(
900mg) and I dont want to take them both at the same time yet I dont know what
the transition should be like. I really dont want to find out the hard way so I
wondered if I should make a transition slowly taking them both and end up taking
the Orotate or just switch on point? I am going to take Orotate regardless but I
really pray you might have any advice for what you would do.
Dear Anthony --
apologies in advance: my knee is jerking in response to your question. If
you'll pardon the tone, there may be some information that you will find
Something is making you really want to switch to orotate. I fear that this is a
result of some sort of marketing by someone who stands to make money off you.
To my knowledge, there is no rational reason to want to switch. We have
absolutely no basis to think that orotate is safer for your kidney, for
example. Since the risks of orotate are basically unknown, whereas the risks of
lithium carbonate have been "available for viewing" for several decades now, to
switch from lithium carbonate to use lithium orotate is certainly a case of
trading the devil you know for the devil you don't know.
Worse yet, not only are you trading a known risk for an unknown one, you are
trading known efficacy for unknown value. Forgive me for pounding away like
this, but I just don't get it.
Nevertheless, to answer your question, and try to remain respectful of the
inquiry, I will try to gently point out that if we have no data on efficacy or
risks or appropriate doses, then we are unlikely to have any data on which to
base a strategy for switching.
Well, that might be overstated, actually. We do know that stopping lithium
carbonate suddenly is associated with a much greater likelihood of return of
symptoms in the short run, compared to tapering off lithium carbonate. So
presuming that there is a substantial chance that lithium orotate, at whatever
dose you choose, may not be effective; and presuming that lithium carbonate is
doing something useful now at 900 mg (which may not be the case, I recognize);
then you would definitely want to taper off the lithium carbonate. On that
basis, you would probably want to taper up the lithium orotate.
From the way you are asking this question, somehow I find myself doubting that
you are going to discuss this with the doctor who is currently prescribing the
lithium carbonate. That could be unfortunate, in that it might well be just
that doctor to whom you would turn if symptoms got out of control. If so, one
might reason that you owe it to her or him to provide information about what
you're doing before you do it, so the doctor can comment. In my practice, I
would listen to your explanation, try to understand what the basis of your
interest in orotate actually is, and see if we can address whatever is driving
your decision in a fashion that is more informed by accurate information. I
understand that there are doctors out there who would simply dismiss the
question outright, and perhaps belittle you in the process (I hope I am not
doing too much of that right here).
I so strongly believe that you ought to be talking with your physician about
this that I think it would probably be best if I did not give you any further
information on how to taper lithium carbonate. At least I would be internally
consistent that way.
In preparation for discussing this issue with your physician, you might try to
write out (for yourself, if not for her) exactly what you're trying to achieve
with the switch. That will help her help you best. Good luck with that --
Published November, 2008