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There are a few old studies indicating efficacy of lithium for acute depression with lithium having the same efficacy as tricyclic antidepressants. [35] A recent study concluded that lithium works best on chronic and recurrent depression when compared to modern antidepressant (i.e. citalopram) but not for patients with no history of depression ...
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).
Lithium has been used to augment antidepressant therapy in those who have failed to respond to antidepressants alone. [89] Furthermore, lithium dramatically decreases the suicide risk in recurrent depression. [90] According to the results of the STAR-D experiment, the remission rate of lithium for treatment-resistant depression is about 15.9%. [91]
Research shows that it can help to make some behavioral adjustments, like: Improving sleep with sleep hygiene improvements. Lack of sleep can potentially trigger mania for those with bipolar disorder.
Excessive levels of lithium can be harmful to the kidneys, and increase the risk of side effects in general. As a result, kidney function and blood levels of lithium are monitored in patients being treated with lithium. [2] Therapeutic plasma levels of lithium range from 0.5 to 1.5 mEq/L, with levels of 0.8 or higher being desirable in acute ...
Lithium has the best overall evidence and is considered an effective treatment for acute manic episodes, preventing relapses, and bipolar depression. [144] [145] Lithium reduces the risk of suicide, self-harm, and death in people with bipolar disorder. [146] Lithium is preferred for long-term mood stabilization. [68]
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