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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 mania. [14] Lithium levels should be above 0.6 mEq/L to reduce both manic and depressive episodes in patients. [15]
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 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]
Lithium has a plethora of proposed molecular targets: Lithium both directly and indirectly inhibits GSK3β (glycogen synthase kinase 3β) which results in the activation of mTOR. This leads to an increase in neuroprotective mechanisms by facilitating the Akt signaling pathway. [110] GSK-3β is a downstream target of monoamine systems.
Depakote (valproic acid/sodium valproate) – an antiepileptic and mood stabilizer used to treat bipolar disorder, neuropathic pain and others; sometimes called an antimanic medication. Depakene is the trade name for the same drug prepared without sodium. Desyrel – an atypical antidepressant used to treat depression and insomnia
Lithium salts: Camcolit, Eskalith, Lithobid, Sedalit Oxcarbazepine: Trileptal Topiramate: Topamax Sodium valproate [note 1] Convulex, Depakene, Depakine Enteric, Orfiril, Stavzor Divalproex sodium [note 2] Depakote, Epival, Ergenyl Chrono Sodium valproate and valproic acid in 2.3:1 ratio: Depakine Chrono, Depakine Chronosphere, Epilim Chrono ...
For antihypertensive drugs, diuretics causes sodium loss, which reduces the renal clearance of lithium, while symptoms of lithium toxicity have also been reported when methyldopa is used together with lithium. [15] NSAIDs have similar effects to diuretics drugs, which is decreasing the renal clearance of lithium.
Lithium citrate was removed from 7Up in 1948 [5] after the Food and Drug Administration banned its use in soda. [6] Lithium citrate is used as a mood stabilizer and is used to treat mania, hypomania, depression and bipolar disorder. [7] It can be administered orally in the form of a syrup. [7]
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