A member asked:

How fast can i titrate off lithium i have been taking 450 mgs a day for about a year and 900 per day a year beforehand.

A doctor has provided 1 answer
Dr. Mitchell Cohen answered

Specializes in Psychiatry

At least 3 weeks: The fastest i would taper 450 mg of lithium would be 150 mg decrease per week for 3 weeks. Gentle tapers are the safest with lithium, since discontinuation can provoke relapse of mania or depression. If coming off lithium is clinically indicated, it should be done under supervison of your physician and the fastest taper would be 3 weeks. In my own practice i would stretch to 6 weeks.

Answered 4/9/2015

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