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Those who use lithium should receive regular serum level tests and should monitor thyroid and kidney function for abnormalities, as it interferes with the regulation of sodium and water levels in the body, and can cause dehydration. Dehydration, which is compounded by heat, can result in increasing lithium levels.
Lithium levels should be above 0.6 mEq/L to reduce both manic and depressive episodes in patients. [15] A recent review concludes that the standard lithium serum level should be 0.60–0.80 mmol/L with optional reduction to 0.40 0.60 mmol/L in case of good response but poor tolerance or an increase to 0.80 1.00 mmol/L in case of insufficient ...
Lithium Lithium is the "classic" mood stabilizer, the first to be approved by the US FDA, and still popular in treatment. Therapeutic drug monitoring is required to ensure lithium levels remain in the therapeutic range: 0.6 to 0.8 or 0.8–1.2 mEq/L (or millimolar).
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Due to lithium's narrow therapeutic index, lithium levels must be monitored regularly for prevention of lithium toxicity. There is also evidence that the anticonvulsants valproate, lamotrigine, carbamazepine, and topiramate are effective in the reduction of symptoms of hypomanic and depressive episodes of bipolar disorder.
The diagnosis is generally based on symptoms and supported by a lithium level blood level. [1] [2] Blood levels are most useful six to twelve hours after the last dose. [2] The normal blood serum lithium level in those on treatment is between 0.6-1.2 mEq/L. [1] Some blood tubes contain lithium heparin which may result in falsely elevated ...
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