Lithium Flashcards

1
Q

absorption

A

rapidly absorbed from GIT

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2
Q

distribution

A

not protein bound and has a small volume of distribution

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3
Q

metabolism

A

not metabolised by the liver

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4
Q

excretion

A

renal excretion, unchanged in urine

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5
Q

MOA

A
  1. works by reducing excitatory neurotransmission
    - dopamine and glutamate
  2. increases inhibitory neurotransmission
    - GABA
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6
Q

indications

A
  1. treatment of mania, bipolar disorder, recurrent depression, aggressive or self harming behaviour
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7
Q

adverse effects

A

increased thirst
fatigue
weight gain
metallic taste

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8
Q

what are the signs of overdose

A
  • vomiting and diarrhoea
  • visual disturbances
  • tremor
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9
Q

interactions

A

ibuprofen
verapamil

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10
Q

contraindications

A
  • Addisons disease
  • cardiac disease associated with rhythm disorder
  • dehydration
  • low sodium diet
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