Lithium Citrate
Post-Traumatic Stress Disorders, Bipolar Disorder ... show more
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
NA
Controlled Drug Substance
No
Summary
Lithium citrate is primarily used to treat bipolar disorder, which causes extreme mood swings. It helps stabilize mood and reduce the frequency and severity of manic and depressive episodes. It may also be used for other conditions as determined by your doctor.
Lithium citrate works by stabilizing mood in people with bipolar disorder, which affects the flow of sodium through nerve and muscle cells. This helps balance mood and reduce the frequency and severity of mood swings, acting like a thermostat for emotional stability.
The usual starting dose of lithium citrate for adults is 300 mg to 600 mg, taken two to three times a day. It can be taken with or without food, and the liquid form can be mixed with water or juice. Always follow your doctor's specific dosing instructions.
Common side effects of lithium citrate include increased thirst, frequent urination, and mild hand tremors. These effects occur in many people taking the medication and are considered unwanted reactions that can happen when taking a medication.
Lithium citrate can cause lithium toxicity, a dangerous condition with symptoms like nausea and confusion. Regular blood tests are needed to monitor levels. Avoid if you have severe kidney disease or low sodium levels. Pregnant or breastfeeding women should consult their doctor.
Indications and Purpose
How does lithium citrate work?
Lithium citrate works by stabilizing mood in people with bipolar disorder, which causes extreme mood swings. It affects the flow of sodium through nerve and muscle cells, which helps balance mood and reduce the frequency and severity of manic and depressive episodes. Think of it like a thermostat that helps regulate emotional temperature, keeping mood swings in check. This medication is effective in managing bipolar disorder and is often used as a long-term treatment to maintain mood stability.
Is lithium citrate effective?
Yes, lithium citrate is effective for treating bipolar disorder, which is a mental health condition causing extreme mood swings. It helps stabilize mood and reduce the frequency and severity of manic and depressive episodes. Clinical studies show that lithium citrate significantly improves mood stability in people with bipolar disorder. It is considered a first-line treatment for this condition. Regular monitoring of blood lithium levels helps ensure its effectiveness and safety. Always follow your doctor's instructions for the best results.
What is lithium citrate?
Lithium citrate is a medication used to treat bipolar disorder, which causes extreme mood swings. It belongs to the class of drugs called mood stabilizers. Lithium citrate works by affecting the flow of sodium through nerve and muscle cells, which helps stabilize mood and reduce the frequency and severity of manic and depressive episodes. It's primarily used for bipolar disorder but may also be used for other conditions as determined by your doctor. Always follow your doctor's instructions when taking lithium citrate.
Directions for Use
For how long do I take lithium citrate?
Lithium citrate is usually taken long-term for managing chronic conditions like bipolar disorder, which causes extreme mood swings. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. Stopping this medication without medical advice could cause your condition to worsen. How long you'll need lithium citrate depends on your body's response, any side effects you experience, and changes in your overall health. Always talk with your doctor before changing or stopping your lithium citrate treatment.
How do I dispose of lithium citrate?
To dispose of lithium citrate, take it to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of it properly to prevent harm to people or the environment. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and then throw it away. Always keep medications out of reach of children and pets.
How do I take lithium citrate?
Take lithium citrate exactly as your doctor prescribes. It's usually taken two to three times a day, with or without food. You can mix the liquid form with water or juice. Do not crush or chew the tablets. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose. Never double up on doses. Avoid caffeine and alcohol, as they can affect lithium levels in your body. Always follow your doctor's specific instructions.
How long does it take for lithium citrate to start working?
Lithium citrate may take several weeks to achieve its full therapeutic effect. You might start noticing improvements in mood stability within a week or two, but it can take up to three weeks or longer for the full benefits to appear. Individual factors like your overall health and how your body processes the medication can affect how quickly it works. Regular monitoring of blood lithium levels helps ensure the medication is working effectively. Always take lithium citrate as prescribed for the best results.
How should I store lithium citrate?
Store lithium citrate at room temperature, away from light and moisture. Keep it in a tightly closed container to protect it from damage. Don't store it in humid places like bathrooms, as moisture can affect its effectiveness. If your medication came in packaging that isn't child-resistant, transfer it to a container that children can't easily open. Always store lithium citrate out of children's reach to prevent accidental ingestion. Check the expiration date regularly and dispose of any unused or expired medication properly.
What is the usual dose of lithium citrate?
The usual starting dose of lithium citrate for adults is typically 300 mg to 600 mg, taken two to three times a day. The dose may be adjusted based on your blood lithium levels and how you respond to the treatment. The maximum recommended dose is usually around 1800 mg per day. For elderly patients, lower doses may be needed due to slower kidney function. Always follow your doctor's specific dosing instructions for your health needs.
Warnings and Precautions
Can I take lithium citrate with other prescription drugs?
Lithium citrate has several concerning drug interactions. Diuretics, which are water pills, can increase lithium levels, leading to toxicity. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can also raise lithium levels. ACE inhibitors, used for blood pressure, may increase lithium levels as well. These interactions can increase the risk of adverse effects. Always inform your doctor about all medications you take. They can help manage potential interactions and adjust your treatment plan to keep it safe and effective.
Can lithium citrate be taken safely while breastfeeding?
Lithium citrate is not recommended while breastfeeding. It can pass into breast milk and may affect the breastfed infant, potentially causing side effects like lethargy or poor feeding. The effects on milk supply are not well-studied. If you're taking lithium citrate and want to breastfeed, talk with your doctor about safer medication options. They can help you find a treatment plan that allows you to nurse your baby safely while managing your health condition.
Can lithium citrate be taken safely while pregnant?
Lithium citrate is not recommended during pregnancy, especially in the first trimester. It can affect fetal development, potentially leading to birth defects. Limited human studies show risks, but the evidence isn't conclusive. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your condition. They can help create a treatment plan that protects both you and your baby. Always discuss the risks and benefits of lithium citrate with your healthcare provider.
Does lithium citrate have adverse effects?
Yes, lithium citrate can have adverse effects, which are unwanted reactions to a medication. Common adverse effects include increased thirst, frequent urination, and mild hand tremors. These occur in a significant number of users. Serious side effects, like lithium toxicity, can cause confusion, seizures, or kidney problems and require immediate medical attention. If you notice any new or worsening symptoms, contact your doctor. They can help determine if these are related to lithium citrate and adjust your treatment if necessary.
Does lithium citrate have any safety warnings?
Yes, lithium citrate has important safety warnings. It can cause lithium toxicity, which is a dangerous condition with symptoms like nausea, tremors, confusion, and seizures. Regular blood tests are needed to monitor lithium levels. Dehydration, which means your body doesn't have enough fluids, can increase the risk of toxicity. Drink plenty of water and avoid excessive caffeine or alcohol. If you experience symptoms of toxicity, seek medical help immediately. Always follow your doctor's advice to minimize risks.
Is it safe to drink alcohol while taking lithium citrate?
It's best to avoid alcohol while taking lithium citrate. Alcohol can increase the risk of lithium toxicity, which is a dangerous condition with symptoms like nausea, tremors, and confusion. Alcohol can also cause dehydration, which means your body doesn't have enough fluids, and this may worsen side effects of lithium citrate. If you choose to drink occasionally, limit your alcohol intake and watch for warning signs of toxicity. Talk with your doctor about alcohol use while taking lithium citrate for personalized advice.
Is it safe to exercise while taking lithium citrate?
Yes, you can exercise while taking lithium citrate, but be cautious. This medication can cause dehydration, which means your body doesn't have enough fluids, especially during physical activity. Dehydration can lead to dizziness or lightheadedness. To exercise safely, drink plenty of water before, during, and after physical activity. Watch for signs of dizziness or unusual fatigue. If you notice these symptoms, slow down or stop exercising and rest. Always consult your doctor if you have concerns about exercising while on lithium citrate.
Is it safe to stop lithium citrate?
No, it's not safe to stop lithium citrate suddenly. It's usually used long-term for conditions like bipolar disorder. Stopping abruptly can cause your symptoms to return or worsen. You might experience mood swings or other withdrawal symptoms. Always talk with your doctor before stopping lithium citrate. They might suggest gradually reducing your dose to prevent withdrawal effects and keep your condition under control. Your doctor will help you make any medication changes safely.
Is lithium citrate addictive?
No, lithium citrate is not addictive or habit-forming. It doesn't cause dependency or withdrawal symptoms when you stop taking it. Lithium works by stabilizing mood and is used to treat conditions like bipolar disorder. It doesn't affect brain chemistry in ways that lead to addiction. You won't experience cravings for lithium citrate or feel compelled to take more than prescribed. If you have concerns about medication dependence, you can feel confident that lithium citrate doesn't carry this risk.
Is lithium citrate safe for the elderly?
Lithium citrate can be used by the elderly, but with caution. Older adults are more vulnerable to side effects due to slower kidney function, which affects how the body processes lithium. They may experience more frequent side effects like tremors or confusion. Regular monitoring of blood lithium levels and kidney function is essential to ensure safety. Dose adjustments may be necessary. Always consult a doctor to tailor the treatment plan to the specific needs of elderly patients.
What are the most common side effects of lithium citrate?
Common side effects of lithium citrate include increased thirst, frequent urination, and mild hand tremors. These side effects occur in many people taking the medication. Side effects are unwanted reactions that can happen when taking a medication. If you experience new symptoms after starting lithium citrate, they might be temporary or unrelated to the medication. Always talk with your doctor before stopping any medication. They can help determine if the side effects are related to lithium citrate and suggest ways to manage them.
Who should avoid taking lithium citrate?
Lithium citrate has important contraindications. Don't use it if you're allergic to lithium or its ingredients. It's not for people with severe kidney disease, which affects organs that filter waste from your blood, as it can worsen kidney function. Avoid lithium citrate if you have low sodium levels, as it can increase the risk of toxicity. Pregnant or breastfeeding women should consult their doctor, as lithium can affect the baby. Always discuss your health conditions with your doctor before starting lithium citrate.