Doctor insights on:
Elevated Bun In Lithium Toxicity
Lithium toxicity: Lithium can cause nausea, vomiting, diarrhea, dizziness, muscle weakness, and fatigue. Also there can be a fine tremor of the hands or legs, muscle twitches, difficulty walking, slurred speech, nystagmus, and seizures. Management is to reduce dose or temporarily stop the drug. Lithium levels need to be monitored regularly, and kept in therapeutic range (maintenance. 6 - 1 mmol/l). ...Read more
Chemically, lithium is a light, soft, alkali metal. It's very highly reactive, so that in nature it's only found in compound form. It's useful in batteries. As a medication, Lithium Carbonate and citrate can be used to stabilize mood in people with bipolar disorder. In these people it can help with both mania and depression. Blood level monitoring is ...Read more
I take 300mg twice a day of lithium & my bed time pill seems to knock me out (hard) & I find it hard to wake up 2. Is that to much litium or toxicity?
Take lithium 300mgs. Recently started Toviaz (fesoterodine) for bladder problem. Can taking Toviaz (fesoterodine) affect the lithium level. Had trouble with lithium toxicity before?
Should be safe: No significant interaction between these 2 meds has been found to exist. Always check with your doc if you develop any new symptoms ...Read more
Depends: What do you mean by this? If you are having symptoms that are consistent with lithium toxicity then it is very important to do 2 things: hydrate well (i.e. Drink plenty of water) and go to either an er or urgent care center. If you just think you took too many pills by accident but have not symptoms of toxicity, you should be ok but need to check your levels soon and talk to your doctor soon too. ...Read more
Discontinued 900mgs of lithium abruptly on dr's advice because was toxic. Now, about a month later, am experiencing depressive symptoms, already?
Follow up appt?: When is your follow up appt for a lithium level? It may then be safe to take 300-600mg a day if your level has decreased adequately. Some patients benefit from subtheraputic levels on less lithium, which is safer. Make sure your thyroid function tests and kidney function tests are also checked regularly while on lithium. ...Read more
Post chronic lithium toxicity and withdrawal left me with terrible crawling sensations all over my body. Is it temporary and is there a treatment?
Unfortunately: I can't be terribly encouraging about this. Typically with chronic lithium poisoning there is a large body burden of lithium that is difficult to treat. Often this discovered with time or a new medication that alters kidney function or causes dehydration, causing the lithium level to rise. The symptoms you describe are not unusual. Treatment is symptomatic as for other peripheral neuropathies. ...Read more
I'm confused, people say they start u out at almost toxic level of lithium. How come there saying im on a low dose? 300 x2 day. What's high dose then
Lower dose - good: High doses can be toxic, so I believe it makes sense to start with a smaller dose and work one's way up to a therapeutic dose based on blood level and how someone is doing clinically! A high dose would be any dose that is too high for you, based on that! No need to be confused - you would not want toxic side effects! ...Read more
I took Lithium for 2 days and had to quit cold turkey due to toxicity. 2 other psychs say I've been misdiagnosed. Increase in anxiety, will it go away?
This is not the kind: Of question that can be answered with any degree of medical certainty in this forum. I would recommend you address your question to a psychiatrist in person during an office visit. Best of luck. ...Read more
Went for a long hike, rough terrain. Not in shape. I take lithium. I got overheated, nauseated is this sign of Li toxicity? Had lots of water n shade
Nausea, dehydration: Nausea can be one of the initial symptoms of lithium toxicity. Getting overheated and dehydrated is often a cause of lithium toxicity. However being on medications like Seroquel (quetiapine) and Lamictal can also make one feel a bit nauseous if dehydrated. It is vital to keep oneself well-hydrated when on meds like these. Glad you are ok now. ...Read more
How can I get someone to review medical records for a negligence lawsuit my husband almost died from lithium toxicity in jail. He has permanent disab. He is now in prison. The medical dept won't review his records so I have a power of attorney and am tryi
Wow-: Wow- dr fox did an awesome job at answering that question. I don't know that anything can be added to his very comprehensive response, but there is also an avvo. Com site for getting legal questions answered. ...Read more
Took lithium which helped suicidal thoughts disappear. Lithium toxic and need a different med. Would ziprasidone help? Or latuda (lurasidone)?
How do you treat persistent severe akathisia like symptoms from Lithium toxicity and withdrawal when benzos and propanolol cause breathing issues?
More info is needed: Are you in a hospital setting? How bad of a lithium intoxication? . A low dose lorazepam 0, 5mg po q4-6 hours should help. Not sure what breathing problems u refer to, but you'll be monitored. If you are at home and can't take benzos, try a calming, long bath with calming salts, and lavanda oil. Followed by a long walk. ...Read more
I've only been urinating like twice a day little output I also have pain on right side could there be something wrong with kidney I was toxic w/lithium?
You do not list any medical conditions associated with lithium use. Assuming your info is correct, acute lithium toxicity usually presents with:
you may also have central nervous system symptoms depending on how much lithium you took:
please seek medical help asap. ...Read more
When using lithium is it important to have your bun-creatinine-tsh-and electrolytes checked every 3 months. ..along with the lithium level?
It is helpful to test BUN, Creatinine, TSH and Electrolytes as Lithium toxicity is closely related to serum Lithium levels, and can occur at doses close to Therapeutic levels.
If Manic Symptoms are in control and functioning in relationships, work and personal life has increased, these Tests can be done every 3 months.
Can chronic Lithium toxicity (6+ months) at levels as high as 2.4 as well as renal impairment cause breathing problems? Why? It is it long lasting?
Dehydrated, fever 100.2 lithium inc. To 1200mg 4 days ago. Toxic before on this dose 1.4. RN Retrying therapy. Is fever concerning?
Yes: The problem that fever adds is fluid loss. You become more dehydrated with every breath. The body evaporates water through the lungs to help cool you and that concentrates the Lithium. Drinks losts of cool liquids. I like slussys, but replace the fluids you are losing. Your urine should be about the color of Wylers lemone aid (sorry Wyler) Watch your lithium level closely. ...Read more
Can a low dose of lithium orotate trigger/cause hypomania in bipolar people? What's the max. Time you can be on it without worrying about toxicity? X
No: From what I can see it may have a dinky dose of lithium and lithium wouldn't trigger hypo mania but the amount in this supplement probably wouldn't prevent an episode either--you can get a blood test and see the amount in your system usual starting dose is around 900mg & therapeutic level is between 0.5-1.5 or 0.6-1.2 depending on the lab above these amounts are toxic levels and below may not be e ...Read more
I had chronic Lithium toxicity. I still get bad nerve sensations, burning pain, tingling. Every doctor denies permanent damage or withdrawal! Help!
I'm unclear what information you're looking for, please clarify. I'm guessing you just want to be out of pain. First seek out diagnoses. If you aren't getting the answer and are still in pain, discuss these concerns with your primary care doctor.
Also "Full Catastrophe Living" is a great resource for cases like this. ...Read more
Passing gas: since apr/13, my volume is up 200-400%. High fiber diet. Lithium toxicity undiagnosed 5 yrs. Dosage lowered to 450mg 6 mo's ago. Related?
Not from Lithium: Your increase in flatus is more likely due to your high fiber diet, rather than lithium. Lithium can cause diarrhea ; loose stools in 20% of patients. That said, high fiber is healthy for your bowels. As long as it's coming out, the gas will not harm you. You could avoid gas-forming foods like broccoli, beans, onions, fermentable fiber, lactose, etc, for a couple of weeks ; then test 1 by 1. ...Read more
Bipolar 2, anxiety and avoidant pd. Self harm suicidal ideas. Is there med that can tame these heavy ideas and images. Toxic on lithium. No psychiatrist
Lithium toxic at 1.66.effects were extreme dizziness. Blind spot right eye. Vision looked cloudy. Felt floating. Saw bugs on wall. Delirum or hallucination?
See doctor ASAP!: I hope you are sharing with us the aftermath of taking too much lithium and have been seen by your PCP. Your description of visual hallucinations and not in your body means you still need to be under emergent medical supervision. So you don't injure yourself or others. You should not be driving or doing anything requiring using machinery, and have 24 hour care in a hospital ER, under observation. ...Read more
I take 900mg of lithium. Just had gallbladder out yesterday, doc gave me norco (hydrocodone and acetaminophen) and 600 ibprofrin so 4x a day 1800mg ibprofrin make lithium toxic??
No worries: Norco (hydrocodone and acetaminophen) and ibuprofen should not react with lithium. Take the pain medication only if you need it! If you can tolerate mild discomfort after the operation there is no need to even bother with pain medication. Otherwise, don`t worry about an interaction :) ...Read more
Elevated creatinine 1.01 32 y/of female. Sarcoidosis diagnosis in the past. BUN=12.Where do I go next?
Normal: Your kidney function is completely normal. Why do you believe otherwise? ...Read more
Depends on drug: Many drugs are excreted by the kidneys and doses of those drugs need to be adjusted in people with elevated BUN/Cr. ...Read more
What means an elevated BUN to creatinine ratio of 24 if both BUN and Creatinine are individually normal? BUN: 17.7, Creat: 0, 75. Take many fluids. Txs
Elevated ratio: Hi Oskcar. You lab levels are normal and your ratio is high due to your low creatinine level. If you had a high BUN-creatinine ratio that was abnormal due to dehydration, your serum sodium and chloride would be high. You did not mention those values in your test results. Were they elevated? If not, you need not worry, if they were, ingest more fluids to reduce them and lower your ratio. ...Read more
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