Is lithium hard on kidneys or liver?

Kidney damage due to lithium may include acute (sudden) or chronic (long-term) kidney disease and kidney cysts. The amount of kidney damage depends on how long you have been taking lithium. It is possible to reverse kidney damage caused by lithium early in treatment, but the damage may become permanent over time.

Does lithium damage the liver?

(Review of the mechanism of action of lithium, its clinical uses and toxicity; states that prolonged exposure to high doses of lithium [above 2 mM] can cause liver injury).

Does lithium always cause kidney damage?

Does lithium harm the kidneys? While most studies suggest that long-term lithium use can impair renal function, the link is not 100% clear. Bipolar disorder itself is a risk factor for renal impairment, as are the medical conditions that tend to congregate with it: cardiovascular disease, hypertension, and diabetes.

What organ is affected by lithium?

Lithium has adverse effects on the kidneys, thyroid gland and parathyroid glands, necessitating monitoring of these organ functions through periodic blood tests. In most cases, lithium-associated renal effects are relatively mild.

What effects does lithium have on the kidneys?

The most common renal side effect of lithium is of concentrating urine despite normal or elevated concentrations of the antidiuretic hormone vasopressin (Table 1). The concentrating defect leads to decreased urine osmolality and increased urine volume (polyuria).

Supplement concerns for kidney disease patients: Mayo Clinic Radio

What is the downside of taking lithium?

If you've been taking lithium for some time, it can cause weight gain. It can also cause problems with your kidneys or thyroid gland. Common signs of an underactive thyroid are tiredness, weight gain and feeling depressed.

What are the long-term effects of taking lithium?

Lithium also exerts antisuicidal, immunomodulatory, and neuroprotective effects. The main problems associated with long-term lithium treatment include kidney, thyroid, and probably cognitive issues.

Why do people quit lithium?

Adverse effects were the most common cause for lithium discontinuation. Among the adverse effects, diarrhoea, tremor, creatinine increase, polyuria/polydipsia/diabetes insipidus and weight gain were the top five reasons for discontinuing lithium.

What can replace lithium medication?

Alternatives to lithium in the prevention of relapse of recurrent affective disorders include antidepressants, carba- mazepine and ECT.

What drugs should not be taken with lithium?

Common drug–drug interactions with lithium

The most commonly prescribed drugs that have the potential to interact with lithium are ACE inhibitors, angiotensin II receptor antagonists (sartans), diuretics, and non-steroidal anti-inflammatory drugs (NSAIDs).

How do I protect my kidneys from lithium?

Does lithium shorten your lifespan?

Lithium May Extend Longevity

In addition to the well-known positive effects on mood,¹⁸ lithium has also been linked with longer overall longevity. Two studies have found that individuals living in areas with even modest, low levels of lithium in the drinking water tend to live longer.

When should I stop taking lithium?

If you need to stop taking lithium, it is best for you to come off it gradually, over at least four weeks, but preferably over three to six months. Gradually reducing the dose will make it less likely that your symptoms come back (compared to stopping the lithium quickly).

Is there a safer alternative to lithium?

Sodium-ion batteries are an emerging technology with promising cost, safety, sustainability and performance advantages over commercialised lithium-ion batteries.

What is the safest mood stabilizer?

The safest and most efficacious mood stabilizer combinations appear to be the mixtures of anticonvulsants and lithium, particularly valproate plus lithium.

Is there anything better than lithium for bipolar?

Lurasidone (Latuda) and Lamotrigine (Lamictal)

But lamotrigine is the better tolerated option, with few of the adverse effects that matter most to patients: weight gain, fatigue, sexual dysfunction, and long-term medical risks. Lamotrigine is better at preventing depression than it is at treating it.

Why did doctors stop prescribing lithium?

In 62% of episodes, lithium was discontinued due to adverse effects, in 44% due to psychiatric reasons, and in 12% due to physical reasons interfering with lithium treatment.

Why is lithium controversial?

Since its introduction, the prescription of lithium has grown increasingly controversial due to reports of poisoning, memory loss, and the drug having a “lobotomizing effect” on patients.

Does lithium make you emotionless?

Substantial affect and mood changes are induced by lithium carbonate. Lethargy, dysphoria, a loss of interest in interacting with others and the environment, and a state of increased mental confusion were reported.

What are the dangers of lithium?

► Exposure to Lithium can cause loss of appetite, nausea, vomiting, diarrhea and abdominal pain. ► Lithium can cause headache, muscle weakness, twitching, blurred vision, loss of coordination, tremors, confusion, seizures and coma.

What are the toxic effects of lithium?

In mild lithium toxicity, symptoms include weakness, worsening tremor, mild ataxia, poor concentration and diarrhea. With worsening toxicity, vomiting, the development of a gross tremor, slurred speech, confusion and lethargy emerge (Bauer and Gitlin 2016).

Is it worth it to take lithium?

While there are different medications used to treat manic and depressive episodes in people with bipolar disorder, lithium is a commonly used medication. Studies suggest that lithium is very effective at both treating symptoms of bipolar disorder and preventing relapses of the condition.

What is normal lithium level for bipolar?

For adults with bipolar disorder there was consensus that the standard lithium serum level should be 0.60‐0.80 mmol/L with the option to reduce it to 0.40‐0.60 mmol/L in case of good response but poor tolerance or to increase it to 0.80‐1.00 mmol/L in case of insufficient response and good tolerance.

Can I quit lithium cold turkey?

Lithium – When abruptly discontinued, people who have been taking lithium to stabilize moods may experience mood instability and a relapse of mania.

How long do patients stay on lithium?

Your doctor may suggest that you commit to taking lithium for at least six months, possibly longer. This is because it can take some time to make sure the medication is working effectively.