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Lithium

Adrien Selim, MD
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Lithium is often used to treat bipolar disorder. Dosing begins at 300 mg od and can range up to 1800 daily.  Adverse effects are most likely to affect GI, renal, cardiac, neurologic systems as well as the thyroid and parathyroid glands.  Toxicity can be either acute or chronic.  Regular monitoring of lithium levels is an important part of caring for patients on this medication.

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Brandon G. -

During the podcast Adrien mentions that lithium is absorbed by the stomach and excreted by the kidneys. The notes mention twice that lithium is not absorbed by the stomach. Can anybody provide some clarification?

Adrien Selim -

Hi Brandon, thanks for noticing the discrepancy. Lithium is rapidly absorbed by the GI tract. Looks like it was an error in the written summary.

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What’s Your (Code) Status? Full episode audio for MD edition 170:42 min - 80 MB - M4AHippo Primary Care RAP - March 2018 Written Summary 508 KB - PDF

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