Lithium Flashcards
MOA Lithium
unknown
alters neuronal sodium transporter and influences reuptake of serotonin and NE
indications for lithium
Bipolar disorder
Acute mania
Schizoaffective disorder
Lithium and suicide risk
Lithium decreases suicide risk
Common endocrine ADE of lithium
hyperparathyroidism
hypothyroidism
hypermagnesemia
hypercalcemia
nephrogenic DI —-> hyponatremia
Contraindications for lithium
pregnancy - ebstein anomaly if taken during first trimester
severe renal disease (KIDNEY)
cardiac disease
Drug interactions with lithium
Blood level is increased by:
Dehydration
Thiazides
Tetracyclines
NSAIDs
Neuro ADEs of lithium
seizures
tremor
HA
sedation
GI ADE of lithium
N/V
Diarrhea
weight gain
Cardiac ADE of lithium
edema
arrythmias
ECG changes
hematological ADE lithium
leukocytosis