Product Description:

• Lithium is commonly used to treat manic and mixed episodes of bipolar I disorder and to help prevent symptoms from returning.
  
• Lithium may also be used for other conditions.

How does lithium work (mechanism of action)?

• Lithium is a mood stabilizer. It may work by affecting certain chemicals in your brain that regulate mood, such as serotonin, dopamine, or norepinephrine. 

How should I store lithium?

• Lithium should be stored at room temperature, between 68 F and 77 F (20 C and 25 C). It can be exposed to temperatures between 59 F and 86 F (15 C and 30 C) for shorter periods of time, such as when transporting it. Store in a cool, dry place. Protect lithium tablets and capsules from moisture. 

What are the most common side effects of lithium?

The most common side effects of lithium are listed below. Your side effects may vary depending on your age. Tell your health care provider if you have any of these side effects that bother you.

• Trembling of hands or tremor
• Peeing a lot
  
• Feeling thirsty
  
• Nausea and vomiting
  
• Discomfort
  
• Thyroid problems (see below)
  
• Dizziness
  
• Rash
  
• Trouble with balance, coordination, or walking
  
• Decreased appetite
  
• Blurry vision

What are the serious side effects of lithium?

While less common, the most serious side effects of lithium are described below, along with what to do if they happen.

• Severe Allergic Reactions. Lithium may cause allergic reactions, which can be serious. Stop taking lithium and get help right away if you have any of the following symptoms of a serious allergic reaction.
  
• Breathing problems or wheezing
  
• Racing heart
  
• Fever or general ill feeling
  
• Swollen lymph nodes
  
• Swelling of the face, lips, mouth, tongue, or throat
  
• Trouble swallowing or throat tightness
  
• Itching, skin rash, or pale red bumps on the skin called hives
  
• Nausea or vomiting
  
• Dizziness, feeling lightheaded, or fainting
  
• Stomach cramps
  
• Joint pain
• Lithium Toxicity
• Kidney Problems
• Low Sodium Levels (Hyponatremia)
• Serotonin Syndrome
• Thyroid Problems
• High Calcium Levels (Hypercalcemia)
• High Parathyroid Levels
• Increased Pressure Around the Brain

What should I know about lithium before using it?

• Do not take lithium unless it has been prescribed to you by a health care provider. Take it as prescribed.
  
• Do not share lithium with other people, even if they have the same condition as you. It may harm them.
  
• Keep lithium out of the reach of children.
• Do not stop taking lithium without talking to your health care provider.
  
• Lithium can make you sleepy and affect your alertness or coordination. Do not drive or do other activities that require alertness or coordination until you know how lithium affects you.
  
• Keep all appointments with your health care provider to get your blood drawn while taking lithium. Your health care provider will use these appointments to check the levels of lithium in your blood. This will tell your health care provider if your dose can stay the same or if it needs to be changed. Blood work can also help your health care provider make sure you are not having side effects from lithium.
  
• Avoid becoming dehydrated while taking lithium, especially in hot weather or while exercising. Talk to your health care provider about how to stay hydrated and how much liquid to drink. In some cases, drinking too much liquid may also be unsafe.
  
• Do not change the amount of salt in your diet without talking to your health care provider. Changing the amount of salt you eat may affect your lithium levels.
  
• There are multiple forms of lithium available. Read and follow the instructions for the product you have and make sure you understand how to use it properly. If you have any questions, talk to your health care provider.
  
• Do not chew, cut, or crush lithium extended-release tablets.
  
• Use an accurate measuring device to measure your dose of lithium oral liquid. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist what measuring device to use.

What should I tell my health care provider before using lithium?

• Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using and also if you are pregnant or breastfeeding. This will help them determine if lithium is right for you.