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The Lothian lithium guidelines include a lithium treatment plan (see Fig. 1); advice for clinicians on managing patients' lithium levels; and pointers for counselling patients on lithium (to be used in conjunction with a patient information leaflet).
31 Μαΐ 2018 · In this article, we explore the practical aspects of prescribing and monitoring lithium, the gold-standard treatment for bipolar disorder. Learn how clinicians can optimise lithium therapy by understanding its pharmacokinetics and using treatment guidelines to enhance patient outcomes while minimising toxicity risks.
Minimum monitoring requirements for established lithium treatment. It is essential to monitor the following regularly: How lithium is being prescribed (e.g. the brand used, desired therapeutic range, concomitant medication).
Lithium requires therapeutic drug monitoring (TDM) and is noted as a high risk medication in the Trust. This guideline aims to ensure the safe use of lithium and to ensure all
Lithium monitoring: Prior to starting lithium: Obtain the following to assess for pre-existing conditions: • Urinalysis • BUN/creatinine • TSH with reflexive free T4. Some suggest obtaining antithyroid peroxidase antibody titers as well. • Calcium • Pregnancy test for those with childbearing potential
14 Ιαν 2024 · This activity outlines the indications and contraindications for lithium use, furnishes guidelines for its administration and monitoring, assesses lithium toxicity, and highlights the role of the interprofessional team in caring for patients undergoing or potentially undergoing lithium therapy.
for individual patients, with careful monitoring of lithium concentrations, estimated glomerular filtration rate, and thyroid stimulating hormone, is essential.
