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.

Does lithium affect liver or kidney?

Lithium may cause problems with kidney health. 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.

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).

What damage can lithium do to your body?

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.

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.

A short history of lithium, and its remarkable impact on mood disorders | Explainer | ABC News

Why is lithium rarely prescribed?

It has long been known that lithium has toxic effects on the thyroid gland and the kidneys. The thyroid toxicity, caused primarily by lithium's interference with thyroid hormones' release from the gland (19) affects up to 19% of treated patients (20).

What are the two major long-term risks of lithium therapy?

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

What mental illness does lithium treat?

Lithium is a mood stabilizer medication that works in the brain. It is approved for the treatment of bipolar disorder (also known as manic depression). Bipolar disorder involves episodes of depression and/or mania.

How common is kidney failure with lithium?

Although several reports suggest little effect of lithium on renal function, other studies estimate prevalence of chronic kidney disease (CKD) amongst lithium users between 10 and 35% (Presne et al.

What are the 3 main symptoms of lithium toxicity?

Symptoms of lithium toxicity include severe nausea and vomiting, severe hand tremors, confusion, and vision changes. If you experience these, you should seek immediate medical attention to check your lithium levels.

What are the signs of lithium toxicity?

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).

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.

What is an alternative to lithium for bipolar?

The ones that treat bipolar depression are cariprazine (Vraylar), lurasidone (Latuda), olanzapine-fluoxetine combo (Symbyax), and quetiapine (Seroquel). Among them, lurasidone offers a good balance of efficacy and tolerability.

What happens if you suddenly stop lithium?

Relapses can occur even when lithium is stopped only for a few days. Abrupt discontinuation of lithium seems to be associated with an increased risk of recurrence. The pathophysiology of this rebound effect is still unknown. In clinical practice, lithium discontinuation has to be gradual when possible.

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).

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.

Why do schizophrenics take lithium?

Lithium stabilises a person's mood and is used as an add‐on treatment with antipsychotics for schizophrenia. Lithium can reduce mania and depression.

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.

What are the disadvantages of lithium?

Despite its overall advantages, lithium-ion has its drawbacks. It is fragile and requires a protection circuit to maintain safe operation. Built into each pack, the protection circuit limits the peak voltage of each cell during charge and prevents the cell voltage from dropping too low on discharge.

What can replace lithium?

Is lithium worth it bipolar?

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 the oldest mood stabilizer?

The oldest and most studied of mood stabilizers is lithium. However, many drugs that were first developed as anticonvulsants to treat epilepsy also act as mood stabilizers. These include carbamazepine, divalproex and lamotrigine.

How much weight do you gain on lithium?

Approximately 25% of people gain weight from taking lithium, according to a review article published in Acta Psychiatrica Scandinavica. 1 After analyzing all relevant published medical studies, the authors reported an average weight gain of 10 to 26 pounds among those who experience this troubling side effect.

What is the safest mood stabilizer for bipolar?

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

What is the best food for bipolar disorder?

One preliminary study found that patients with bipolar disorder who eat a higher quality diet abundant in anti-inflammatory foods (including fresh fruits and vegetables, nuts, seeds, grains, and seafood) respond better to supplemental treatments than those who eat a diet that is high in sugar, unhealthy unsaturated ...