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Lithium Carbonate ER
Lithium Carbonate ER (extended release) is a mood stabilizer primarily used to treat bipolar disorder. It helps manage and stabilize mood swings, reducing the frequency and severity of manic and depressive episodes. Lithium is thought to influence neurotransmitter activity in the brain, providing a calming effect and aiding in the overall emotional balance.
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Frequently Asked Questions
How often do I need blood tests while on lithium?
Initially, blood tests should be done every 1 to 2 weeks until a stable level is achieved, then every 3 to 6 months thereafter.
What should I do if I miss a dose of lithium?
If you miss a dose, take it as soon as you remember. If it’s close to the next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up doses.
Can I take lithium during pregnancy?
Lithium use during pregnancy should be carefully considered with your healthcare provider, as it may pose risks to the fetus.
What are the signs of lithium toxicity?
Symptoms of lithium toxicity include severe tremors, confusion, slurred speech, muscle weakness, and seizures. Seek immediate medical attention if you experience these symptoms.
Is it safe to drink alcohol while taking lithium?
It is advisable to limit alcohol intake, as it can interfere with the effectiveness of lithium and increase the risk of side effects. Always consult your healthcare provider for specific guidance.
Comprehensive Drug Guide
How Does Lithium Carbonate ER Work?
Lithium works by affecting the flow of sodium through nerve and muscle cells, which is essential for normal functioning. It is believed to enhance the reuptake of neurotransmitters such as serotonin and norepinephrine, stabilizing mood and reducing the intensity of manic and depressive episodes.
Common Dosages
- Extended-release tablets: 300 mg, 450 mg, and 600 mg
Typical Dosing
- Initial dosing: Typically starts at 900 mg to 1200 mg per day, divided into doses based on the patient's response.
- Maintenance dosing: Once stabilized, the dose may be adjusted to 300 mg to 600 mg daily.
Typical Dosing
FDA Approved Indications
- Bipolar disorder: both manic and depressive episodes
- Maintenance therapy: to prevent recurrence of mood episodes
Who Shouldn't Take Lithium Carbonate ER?
- Severe renal impairment
- Significant cardiovascular disease
- Known hypersensitivity to lithium or any component of the formulation
Advice From The Pharmacist
- Take Lithium Carbonate ER exactly as prescribed, preferably at the same time each day to maintain an even level in your bloodstream.
- Stay well-hydrated, as dehydration can increase lithium levels and lead to toxicity.
- Regular blood tests are necessary to monitor lithium levels and kidney function.
- Inform your healthcare provider of any other medications you are taking, including over-the-counter drugs and supplements.
Side Effects of Lithium Carbonate ER
Common Side Effects
- Nausea
- Diarrhea
- Tremors
- Weight gain
- Fatigue
Uncommon/Severe Side Effects
- Lithium toxicity (symptoms include severe tremors, confusion, seizures)
- Renal impairment
- Thyroid dysfunction
Risks and Warnings of Lithium Carbonate ER
- Toxicity Risk: Regular monitoring of lithium levels is crucial to prevent toxicity, especially in individuals with kidney issues.
- Hydration: Patients should be cautious about dehydration, particularly in hot weather or when exercising.
- Thyroid and Kidney Function: Lithium can affect thyroid and kidney function, requiring periodic assessments during treatment.
Interactions with Lithium Carbonate ER
Common Drug Interactions
- Diuretics: Certain diuretics can increase lithium levels and the risk of toxicity.
- NSAIDs and ACE inhibitors: These medications can also affect lithium levels; close monitoring is advised.
- Other psychiatric medications: Combining with antidepressants or antipsychotics may require careful adjustment of doses.
Alternatives to Lithium Carbonate ER
- Valproate (Depakote): Another mood stabilizer effective for bipolar disorder.
- Carbamazepine (Tegretol): An anticonvulsant that can also stabilize mood.
- Atypical antipsychotics: Such as quetiapine or lurasidone, which may be used for managing bipolar disorder.
