LithiumReturn to Lithium overview
It feels like being really tired all the time...but it makes me feel less emotional
Lithium can be used to treat the following conditions
Headmeds fills the medicines information gaps for young people - things you might want to know about meds like will it affect my sex life? Can I still study? Can I drink?
Headmeds does not give medical advice so this is just general information.
Each medicine has a balance of good and bad effects, and each person gets their own individual effects.
You might want to know just one thing about your medicine, but on each page we have given you the ‘safety headlines’. Please read them as they are important.
We have included lots of information about each medicine - but if you want all the details, please look at the patient information leaflet - which is inside every pack. These leaflets are also at www.medicines.org.uk - where there will be the most up-to-date information.
- If you have taken more lithium than it said on the label, you must see a doctor quickly – even if you do not feel any different.
- Lithium can cause serious side effects, including allergic reactions (difficulty breathing, swelling of your face or throat, itching skin lumps) and lithium toxicity (when the level of lithium in your body becomes too high.
- Do not take anti-inflammatory medicines like ibuprofen or naproxen – which you can buy or get on prescription – while you are taking lithium.
- You might feel sleepy or dizzy in the first few days after taking lithium – do not drive a car, ride a bike or operate machines until you see how this affects you.
- If you take lithium while you are pregnant, it may affect the developing baby. Use good contraception while you are taking lithium. It can also cause symptoms in newborn babies if you take it at the end of pregnancy. Talk to your doctor or midwife about this and get their help.
- You need regular blood tests whilst you are on lithium to measure the level of lithium in your blood. If the lithium level is too low, then the lithium may not work. However, if the lithium level becomes too high, then this can result in lithium toxicity, which is dangerous.
- Make sure you stay hydrated whilst you are taking lithium. If you become dehydrated whilst you are taking lithium, then there is a risk of the lithium level becoming too high.
- Make sure you do not vary the amount of salt (sodium) in your diet without consulting your doctor first. Having more salt in your diet than usual can make the lithium level become too low. However, you must not go on a low-salt diet because this could make the lithium level become too high.
- It is important to avoid drinking more than one or two alcoholic drinks per day whilst you are on lithium. This is because alcohol can make you dehydrated, which could result in the lithium level becoming too high. Also, drinking alcohol whilst on lithium could make you drowsy.
- Avoid changing your caffeine intake whilst taking lithium without consulting your doctor first. Having a higher caffeine intake can make your lithium level lower, and cutting down your caffeine intake could make the lithium level higher.
- You will also need regular blood tests to check on your kidneys, thyroid gland, and calcium level, because these can sometimes be affected by lithium.
The information on this site for Lithium is not the same as for the other medicines.
Lithium is a medicine where it is very important to have a good relationship with your doctor and care team to make sure you get the best from it.
There is a really good and clear patient information booklet from the National Patient Safety Agency (NPSA) that will help you with the practical bits of taking lithium. This booklet should be given to you by your doctor or someone from your care team but is also available to download and print off at http://www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=65431. A lithium treatment pack can also be bought from 3M (telephone 0845 610 1112 or email firstname.lastname@example.org ).
On this website we will concentrate on how lithium might affect your everyday life.
Lithium has two forms – lithium carbonate and lithium citrate
- Lithium is used as two salts – lithium carbonate and lithium citrate
- Each lithium salt works equally well, but the amount of lithium that gets into your body depends on which salt is prescribed
- It is important to stick to the same brand when you are on lithium, so that a stable amount of lithium is in your body
Lithium is a mood stabiliser medicine
Lithium can be used to help a range of mental health conditions. Lithium helps to keep your mood from becoming too low or too high, which is why it is classed as a mood stabiliser medicine
Lithium works to reduce the number and severity of relapses
- We don’t know exactly how lithium works, but research shows it can help treat the range of conditions listed above.
- In bipolar affective disorder, it can reduce both the number and severity of relapses.
- Lithium can help prevent both manic and depressive relapses, but is a bit better at preventing manic relapses.
- Lithium can help keep you mentally well. It is really important that you take your lithium doses consistently because this will give you the best chance of staying well.
You need to have regular blood tests when you take lithium
- You need to keep the amount of lithium in your blood at the right level.
- If the level is too low, lithium will not work properly.
- If the level is too high, you will feel very unwell. This is called lithium toxicity.
- You will have at least one blood test about a week after starting lithium, to check the level is right to start with.
- You will have another blood test to check your lithium level every 3 to 6 months.
- Priadel 200mg tabs SPC last updated 25/06/15 http://www.medicines.org.uk/emc/medicine/25501 last accessed 17/01/2017
- Priadel tablet PIL last updated 03/03/16
last accessed 17/01/2017
- National Patient Safety Agency. Lithium Therapy: Important information for patients. NPSA, December 2009. Available at
- Taylor D, Paton C, Kapur S. Maudsley Prescribing Guidelines in Psychiatry, 12th edition. Oxford: John Wiley & Sons, 2015
- British National Formulary (BNF) 72nd edition. London: BMJ Group / Pharmaceutical Press, 2016
- British National Formulary for Children (BNFc) 2016-2017. London: BMJ Group / Pharmaceutical Press, 2016
- WADA Prohibited List 2014. Available at http://www.wada-ama.org/Documents/World_Anti-Doping_Program/WADP-Prohibited-list/2014/WADA-prohibited-list-2014-EN.pdf
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- Royal Pharmaceutical Society of Great Britain. Medicines Ethics and Practice (37th edition). London: RPS, 2013
- www.choiceandmedication.org (accessed 29/10/2016; content usually available for free via your mental health trust)