Bipolar Meds-Lithium

May 9, 2026

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This document outlines the indications, toxic signs, and treatment for Lithium, a medication used for Bipolar and Schizoaffective disorder, emphasizing its long-term treatment benefits. Key indications include managing stomach flu symptoms like diarrhea and vomiting, and it is specifically highlighted for long-term treatment due to its lasting effects. The document warns of "TOXIC SIGNS" that require immediate reporting to a healthcare professional (HCP), such as excessive urination, extreme thirst, persistent vomiting and diarrhea, and neuromuscular excitability characterized by tremors or myoclonic jerks. A critical warning is issued regarding dehydration, hyponatremia (low sodium levels below 135 mEq/L), and the contraindication of NSAIDs like ibuprofen due to their potential to decrease renal blood flow, thereby increasing the risk of toxicity. Recommended actions for high-risk toxicity include increasing fluid and sodium intake, especially when urine output is less than 30ml/hr or creatinine levels exceed 1.3. Levels over 1.5 mEq/L are definitively toxic. The document also includes a memory trick: "Lithium Battery 'B' Bipolar Since Lithium lasts a Long time," and a common test question about therapeutic lithium levels. It stresses that if lithium is at a therapeutic level, the current dose should be continued.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

May 9, 2026

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