If this drug is used in women of childbearing potential, or during pregnancy, or if a patient becomes pregnant while taking this drug, the patient should be apprised of the potential hazard to the fetus. Usage in Nursing Mothers Lithium is excreted in human milk. Nursing should not be undertaken during lithium therapy except in rare and unusual circumstances where, in the view of the physician, the potential benefits to the mother outweigh possible hazards to the child.
Usage in the Elderly Elderly patients often require lower lithium dosages to achieve therapeutic serum levels. They may also exhibit adverse reactions at serum levels ordinarily tolerated by younger patients. The distribution space of lithium approximates that of total body water. Lithium is primarily excreted in urine with insignificant excretion in feces. Renal excretion of lithium is proportional to its plasma concentration. Lithium decreases sodium reabsorption by the renal tubules which could lead to sodium depletion.
Decreased tolerance to lithium has been reported to ensue from protracted sweating or diarrhea and, if such occur, supplemental fluid and salt should be administered under careful medical supervision and lithium intake reduced or suspended until the condition is resolved.
In addition to sweating and diarrhea, concomitant infection with elevated temperatures may also necessitate a temporary reduction or cessation of medication. Previously existing underlying thyroid disorders do not necessarily constitute a contraindication to lithium treatment; where hypothyroidism exists, careful monitoring of thyroid function during lithium stabilization and maintenance allows for correction of changing thyroid parameters, if any; where hypothyroidism occurs during lithium stabilization and maintenance, supplemental thyroid treatment may be used.
Drug Interactions Caution should be used when lithium and diuretics are used concomitantly because diuretic-induced sodium loss may reduce the renal clearance of lithium and increase serum lithium levels with risk of lithium toxicity. Patients receiving such combined therapy should have serum lithium levels monitored closely and the lithium dosage adjusted if necessary.
Indomethacin and piroxicam have been reported to increase significantly steady-state plasma lithium concentrations. There is also evidence that other nonsteroidal anti-inflammatory agents, including the selective cyclooxygenase-2 COX-2 inhibitors, have the same effect.
Concurrent use of metronidazole with lithium may provoke lithium toxicity due to reduced renal clearance. Patients receiving such combined therapy should be monitored closely. There is evidence that angiotensin-converting enzyme inhibitors, such as enalapril and captopril, and angiotension II receptor antagonists, such as losartan, may substantially increase steady-state plasma lithium levels, sometimes resulting in lithium toxicity.
When such combinations are used, lithium dosage may need to be decreased, and plasma lithium levels should be measured more often. The concomitant administration of lithium with selective serotonin reuptake inhibitors should be undertaken with caution as this combination has been reported to result in symptoms such as diarrhea, confusion, tremor, dizziness, and agitation. The following drugs can lower serum lithium concentrations by increasing urinary lithium excretion: The following have also been shown to interact with lithium: Adverse Reactions The occurrence and severity of adverse reactions are generally directly related to serum lithium concentrations as well as to individual patient sensitivity to lithium, and generally occur more frequently and with greater severity at higher concentrations.
Adverse reactions may be encountered at serum lithium levels below 1. Consult your doctor or pharmacist for more details. Tell your doctor if your condition does not improve or if it worsens.
It may take 1 to 3 weeks to notice improvement in your condition. Drowsiness, dizziness, tiredness, increased thirst, increased frequency of urination, weight gain, and mildly shaking hands fine tremor may occur. These should go away as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. Remember that your doctor has prescribed Liskonum Lithium Carbonate ER mg because he or she has judged that the benefit to you is greater than the risk of side effects.
Tell your doctor right away if you have any serious side effects, including: Get medical help right away if you have any very serious side effects, including: The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take see Drug Interactions section.
Get medical help right away if you develop some of the following symptoms: However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: This is not a complete list of possible side effects.
If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at Click here to view a more detailed list of Liskonum side effects.
If you miss a dose of Liskonum Lithium Carbonate ER mg, take it as soon as you remember unless your next scheduled dose is within 6 hours. In that case, skip the missed dose and resume your usual dosing schedule.
It helps you to have more control over your emotions and helps you cope better with the problems of living. It is important that you and your family understand all the effects of this medicine. These effects depend on your individual condition and response and the amount of lithium you use. You also must know when to contact your doctor if there are problems with using the medicine.
This medicine is available only with your doctor's prescription. Do not take more or less of it, do not take it more or less often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects. You might have to take this medicine for several weeks before you begin to feel better.
Talk to your doctor if you have any questions. Make sure that your doctor knows if you are on a low-sodium or low-salt diet. Too little salt in your diet could lead to serious side effects. Talk to your doctor about the correct amount of fluid to take with this medicine.
Some people need to drink extra fluid every day with the lithium. Swallow the extended-release tablet whole. Do not break, crush, or chew it. Measure the oral solution with a marked measuring spoon, oral syringe, or medicine cup.
A regular teaspoon may not measure the correct amount of medicine. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose Eskalith, Lithobid? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, lack of coordination, blurred vision, or ringing in your ears.
What should I avoid while taking lithium Eskalith, Lithobid? Lithium can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Lithium may prolong the effects of neuromuscular blocking agents. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Outpatients and their families should be warned that the patient price discontinue lithium carbonate therapy and contact his physician 450mg such clinical signs of lithium toxicity as diarrhea, vomiting, tremor, mild ataxia, drowsiness, or muscular weakness occur. For oral dosage forms capsules, solution, and tablets: If generic versions of this product have been approved by the FDA, there may be generic equivalents available, eskalith 450mg price. Transient and mild nausea and general discomfort may also appear during the first few days of lithium administration. This is not a complete list of possible side effects. Talk to your doctor about the correct eskalith of fluid to take with this medicine, eskalith 450mg price. In humans, lithium carbonate may cause fetal harm when administered to a pregnant woman. If you notice other effects not listed above, contact your doctor or pharmacist. This medicine is available only with your doctor's prescription.
Previously existing underlying thyroid disorders do not necessarily constitute a contraindication to lithium treatment; where hypothyroidism exists, careful monitoring of thyroid function during lithium stabilization and maintenance allows for correction of changing thyroid parameters, if any; price hypothyroidism occurs during lithium stabilization and maintenance, supplemental thyroid treatment may 450mg used. Consult your doctor before breast-feeding, eskalith 450mg price. Maintenance therapy prevents or diminishes the intensity of subsequent episodes in those eskalith patients eskalith a history of mania. Your pharmacist can provide more information about lithium. Remember that your doctor has prescribed Liskonum Lithium Carbonate ER mg because he or she has judged that the benefit to you is greater than the 450mg of side effects. Tell your doctor about all the prescription and over-the-counter medications you use. Price not change the amount of eskalith that you consume in your diet. Urea, mannitol and aminophylline all produce significant increases in lithium excretion, eskalith 450mg price. 450mg the 2 doses are unequal, eskalith 450mg price, give the larger dose in the evening. For this medicine, the price should be considered:
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