The does was 900MG, the lithium level got up to I believe 7.1. Dialysis was run and the lithium has never been reintroduced. Is it possible to reintroduce lithium slowly for a patient who has not been on it for nearly 5 years? I am only asking for informational reasons. Thank you!
Bryan68, Yes but you would have to do more research, I am just going mostly off of what I have seen from many prescribers. Of course, most patients that have had a problem in the past you would want blood test more often at first to watch their levels. Many things can cause toxic levels, Such as patient taking the same way meaning with food or not which could affect the adsorbing of Lithium. Then you have some people that can't take it do to a chronic toxic problem. Not that common. Just now I thought I would google this and found this quote from a student or physician site and was surprised at this quote.I well paste it here.(Lithium has a narrow therapeutic index; a large proportion of patients on chronic lithium therapy experience at least one episode of toxicity during treatment . The highest intracellular lithium levels are found in the brain and the kidneys.) So anyway it is fairly common for any patient to have this problem at some point.
So of course with the levels being checked until the patient is getting the benefits needed with the least amount of Lithium would be the ideal goal. But anyway this well show you that it really is not that uncommon. Good luck to you in your search.
I will let you know what I know.
Doctors have to monitor your lithium levels while on it to check for toxicity. There is no definately dose that causes it. It depends on each person and how they tolerate the med.
If the levels are toxic they have to decrease the dose immediately. They may take the patient off of it for awhile. They then know what dose caused the toxicity.
I hope I explained that well enough.
- Lithium Information for Consumers
- Lithium Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lithium (detailed)
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