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The rate of hypothyroidism is around six times higher in people who take lithium. Low thyroid hormone levels in turn increase the likelihood of developing depression. People taking lithium thus should routinely be assessed for hypothyroidism and treated with synthetic thyroxine if necessary. [71]
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]
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 ...
For depression, escitalopram is normally prescribed at a dosage of 10mg to 20mg, taken one time per day. ... Lithium. Opioid painkillers, like tramadol. Amino acids, such as tryptophan.
Furthermore, Lithium dramatically decreases the suicide risk in recurrent depression. [261] There is some evidence for the addition of a thyroid hormone, triiodothyronine , in patients with normal thyroid function.
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