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Lithium (LITH-ee-um) is used to treat the manic stage of bipolar disorder (manic-depressive illness). Manic-depressive patients experience severe mood changes, ranging from an excited or manic state (for example, unusual anger or irritability or a false sense of well-being) to depression or sadness. Lithium is used to reduce the frequency and severity of manic states. Lithium may also reduce the frequency and severity of depression in bipolar disorder.
It is not known how lithium works to stabilize a person's mood. However, it does act on the central nervous system. It helps you to have more control over your emotions and helps you cope better with the problems of living.
It is important that you and your family understand all the effects of lithium. These effects depend on your individual condition and response and the amount of lithium you use. You also must know when to contact your doctor if there are problems with the medicine's use. Lithium may also be used for other conditions as determined by your doctor.
This medicine is available only with your doctor's prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For lithium, the following should be considered:
Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to lithium. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.
Diet- Make certain your health care professional knows if you are on a low-sodium or low-salt diet. Too little salt in your diet could lead to serious side effects.
Pregnancy- Lithium is not recommended for use during pregnancy, especially during the first 3 months. Studies have shown that lithium may rarely cause thyroid problems and heart or blood vessel defects in the baby. It has also been shown to cause muscle weakness and severe drowsiness in newborn babies of mothers taking lithium near time of delivery.
Breast-feeding- Lithium passes into the breast milk. It has been reported to cause unwanted effects such as muscle weakness, lowered body temperature, and heart problems in nursing babies. Before taking this medicine, be sure you have discussed with your doctor the risks and benefits of breast-feeding.
Children- Lithium may cause weakened bones in children during treatment.
Older adults- Unusual thirst, an increase in amount of urine, diarrhea, drowsiness, loss of appetite, muscle weakness, trembling, slurred speech, nausea or vomiting, goiter, or symptoms of underactive thyroid are especially likely to occur in elderly patients, who are often more sensitive than younger adults to the effects of lithium.
Other medicines- Although certain medicines should not be used together at all, in other cases 2 different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking lithium, it is especially important that your health care professional know if you are taking any of the following:
Other medical problems- The presence of other medical problems may affect the use of lithium. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
Take this medicine after a meal or snack. Doing so will reduce stomach upset, tremors, or weakness and may also prevent a laxative effect.
For patients taking the long-acting or slow-release form of lithium:
For patients taking the syrup form of lithium:
During treatment with lithium, drink 2 or 3 quarts of water or other fluids each day, and use a normal amount of salt in your food , unless otherwise directed by your doctor.
Take this medicine exactly as directed . Do not take more or less of it, do not take it more or less often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of unwanted effects.
Sometimes lithium must be taken for 1 to several weeks before you begin to feel better .
In order for lithium to work properly, it must be taken every day in regularly spaced doses as ordered by your doctor . This is necessary to keep a constant amount of lithium in your blood. To help keep the amount constant, do not miss any doses and do not stop taking the medicine even if you feel better .
The dose of lithium will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of lithium. If your dose is different, do not change it unless your doctor tells you to do so.
The number of capsules or tablets or teaspoonfuls of syrup that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using lithium .
If you miss a dose of this medicine, take it as soon as possible. However, if it is within 4 hours (about 6 hours for extended-release tablets or slow-release capsules) of your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
To store this medicine:
Precautions While Using This Medicine
Your doctor should check your progress at regular visits to make sure that the medicine is working properly and that possible side effects are avoided. Laboratory tests may be necessary.
Lithium may not work properly if you drink large amounts of caffeine-containing coffee, tea, or colas.
This medicine may cause some people to become dizzy, drowsy, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert .
Use extra care in hot weather and during activities that cause you to sweat heavily, such as hot baths, saunas, or exercising . The loss of too much water and salt from your body could lead to serious side effects from this medicine.
If you have an infection or illness that causes heavy sweating, vomiting, or diarrhea , check with your doctor. The loss of too much water and salt from your body could lead to serious side effects from lithium.
Do not go on a diet to lose weight and do not make a major change in your diet without first checking with your doctor . Improper dieting could cause the loss of too much water and salt from your body and could lead to serious side effects from this medicine.
For patients taking the slow-release capsules or the extended-release tablets :
It is important that you and your family know the early symptoms of lithium overdose or toxicity and when to call the doctor .
Side Effects of This Medicine
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur :
Check with your doctor as soon as possible if any of the following side effects occur:
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, lithium is used in certain patients with the following medical conditions:
Other than the above information, there is no additional information relating to proper use, precautions, or side effects for these uses.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT