Treatment for lithium toxicity

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Don’t take lithium while pregnant without telling your doctor. You should also use a reliable form of birth control while taking this medicine.

Nonsteroidal anti-inflammatory drugs (NSAIDs).(for example.ibuprofen [Motrin.Advil].naproxen [Naprosyn.Aleve].indomethacin [Indocin].nabumetone [Relafen].diclofenac [Voltaren.Cataflam.Arthrotec].ketorolac [Toradol]).reduce the kidney’s ability to eliminate lithium and lead to elevated levels of lithium in the blood andside lithium no prescription from lithium. Blood concentrations of lithium may need to be measured for 4 to 7 days after an NSAID is either added or stopped during lithium therapy. Aspirin and sulindac (Clinoril) do not appear to affect lithium concentrations in the blood. Diuretics (water pills) should be used cautiously in patients receiving lithium. Diuretics that act at the distal renal tubule.(for example.hydrochlorothiazide [Hydrodiuril].spironolactone [Aldactone].triamterene [Dyrenium. Dyazide.Maxzide]).can increase blood concentrations of lithium. Diuretics that act at the proximal tubule.(for example.acetazolamide [Diamox]).are more likely to reduce blood concentrations of lithium. Diuretics such as furosemide (Lasix) and bumetanide (Bumex) may have no affect on lithium concentrations in blood. ACE inhibitors.(for example.enalapril [Vasotec].lisinopril [Zestril.Prinivil].benazepril [Lotensin].quinapril [Accupril].moexipril [Univasc].captopril [Capoten].ramipril [Altace]).may increase the risk of developing lithium toxicity by increasing the amount of lithium that is reabsorbed into the body in the tubules of the kidney and thereby reducing the excretion of lithium. When carbamazepine (Tegretol) and lithium are used together.some patients may experience side effects.including dizziness.lethargy.and tremor. Central nervous system side effects also may occur when lithium is used with antidepressants.(for example.fluoxetine [Prozac] sertraline [Zoloft].and paroxetine [Paxil].fluvoxamine [Luvox].amitriptyline [Elavil].imipramine [Tofranil].desipramine [Norpramin]). Combining lithium with monoamine oxidase inhibitor (MAOI) class of antidepressants (for example.isocarboxazid [Marplan].phenelzine [Nardil].tranylcypromine [Parnate].selegiline [Eldepryl].and lithium no prescription [Matulane]) or other drugs that inhibit monoamine oxidase (for example.linezolid [Zyvox]) may lead to serious reactions. Medications which cause the urine to become alkaline (the opposite of acidic) can increase the amount of lithium that is lost into the urine. This results in lower blood concentrations of lithium and reduces the effects of lithium. Such drugs include potassium lithium no prescription.potassium citrate (Urocit-K).sodium bicarbonate.and sodium citrate (Bicitra.Cytra-2.Liqui-Citra.Oracit.Shohl’s). Caffeine lithium no prescription to reduce serum lithium concentrations.and side effects of lithium have increased in frequency when caffeine is consumed. Both diltiazem (Cardizem-CD.Tiazac.Dilacor-XR) and verapamil (Calan-SR.Isoptin-SR.Verelan.Covera-HS) have been reported to have variable effects on lithium levels in blood. In some patients there may be decreased lithium blood levels and in others lithium toxicity. Methyldopa (Aldomet) may increase the likelihood of lithium toxicity. Various reactions have resulted when lithium is administered with phenothiazines.(for example.chlorpromazine [Thorazine].thioridazine [Mellaril].trifluoperazine [Stelazine] or with haloperidol [Haldol]). Such reactions have included delirium.seizures.encephalopathy.high fever or certain neurologic reactions that affect movement of muscles.called extrapyramidal symptoms. Lithium can cause goiter or hypothyroidism. The use of lithium with potassium iodide can increase the likelihood of this adverse reaction. The use of the beta blocker.propranolol (Inderal).with lithium can lead to a slow heart rate and dizziness. Other beta blockers.(for example.metoprolol [Lopressor].atenolol [Tenormin]) also may interact with lithium and be associated with a slow heart rate.Lithium (Eskalith.Lithobid) is one of the most widely used and studied medications for treating bipolar disorder. Lithium helps reduce the severity and frequency of mania. It may also help relieve or prevent bipolar depression.

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Hypercalcemia reported with or without hyperparathyroidism. women and older patients are possibly at greater risk. onset does not appear to be associated with duration of therapy.

Lithium increases a brain chemical called serotonin. Some medications for depression also increase the brain chemical serotonin. Lithium no prescription lithium along with these medications for depression might increase serotonin too much and cause serious side effects including heart problems.shivering.and anxiety. Lithium no prescription not take lithium if you are taking lithium no prescription for depression. Some of these medications for depression include fluoxetine (Prozac).paroxetine (Paxil).sertraline (Zoloft).amitriptyline (Elavil).clomipramine (Anafranil).imipramine (Tofranil).and others.

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