* Generic Name: lithium carbonate
* Brand Name: Eskalith
* What is lithium?
* What are the possible side effects of lithium?
* What is the most important information I should know about
lithium?
* What should I discuss with my healthcare provider before taking
lithium?
* How should I take lithium?
* What happens if I miss a dose?
* What happens if I overdose?
* What should I avoid while taking lithium?
* What other drugs will affect lithium?
* Where can I get more information?
What is lithium?
Lithium affects the flow of sodium through nerve and muscle cells
in the body. Sodium affects excitation or mania.
Lithium is used to treat the manic episodes of bipolar disorder
(manic depression). Manic symptoms include hyperactivity, rushed
speech, poor judgment, reduced need for sleep, aggression, and anger.
Lithium also helps to prevent or lessen the intensity of manic
episodes.
Lithium may also be used for purposes not listed in this medication
guide.
What are the possible side effects of lithium?
Get emergency medical help if you have signs of an allergic reaction:
hives; difficulty breathing; swelling of your face, lips, tongue, or
throat.
Call your doctor at once if you have:
* a light-headed feeling, like you might pass out;
* irregular heartbeats, shortness of breath;
* fever, increased thirst or urination;
* weakness, dizziness or spinning sensation;
* confusion, memory problems, hallucinations;
* uncontrolled muscle movements, slurred speech;
* loss of bowel or bladder control;
* a seizure (blackout or convulsions);
* dehydration symptoms--feeling very thirsty or hot, being unable to
urinate, heavy sweating, or hot and dry skin; or
* increased pressure inside the skull--severe headaches, ringing in
your ears, dizziness, nausea, vision problems, pain behind your
eyes.
Seek medical attention right away if you have symptoms of serotonin
syndrome, such as: agitation, hallucinations, fever, sweating,
shivering, fast heart rate, muscle stiffness, twitching, loss of
coordination, nausea, vomiting, or diarrhea.
Common side effects may include:
* drowsiness;
* tremors in your hands;
* dry mouth, increased thirst or urination;
* nausea, vomiting, loss of appetite, stomach pain;
* changes in your skin or hair;
* cold feeling or discoloration in your fingers or toes;
* feeling uneasy; or
* impotence, loss of interest in sex.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about lithium?
Follow all directions on your medicine label and package. Tell each of
your healthcare providers about all your medical conditions, allergies,
and all medicines you use.
Eskalith Patient Information including How Should I Take
Depression Overview:What is Depression?
Understanding Depression Slideshow
RxList
Take the Depression Quiz
Depression:Tips for Exercise Diet and Stress Reduction
Depression Tips Slideshow Pictures
What should I discuss with my healthcare provider before taking lithium?
You should not use lithium if you are allergic to it.
Tell your doctor if you have ever had:
* an abnormal electrocardiograph or ECG (sometimes called an
EKG);
* fainting spells;
* a family history of death before age 45;
* kidney disease;
* heart disease;
* a debilitating illness;
* a thyroid disorder;
* low levels of sodium in your blood; or
* if you are dehydrated.
Some medicines can interact with lithium and cause a serious condition
called serotonin syndrome. Be sure your doctor knows if you also take
stimulant medicine, opioid medicine, herbal products, or medicine
for depression, mental illness, Parkinson's disease,
migraine headaches, serious infections, or prevention of nausea
and vomiting. Ask your doctor before making any changes in how or when
you take your medications.
It is not known whether this medicine will harm an unborn baby. Tell
your doctor if you are pregnant or plan to become pregnant.
You should not breast-feed while using this medicine.
Lithium is not approved for use by anyone younger than 12 years old.
How should I take lithium?
Follow all directions on your prescription label and read all
medication guides or instruction sheets. Your doctor may occasionally
change your dose. Never use lithium in larger amounts, or for longer
than prescribed. Lithium overdose can occur if you take only slightly
more than a recommended dose.
Swallow the tablet whole and do not crush, chew, or break it.
Measure liquid medicine carefully. Use the dosing syringe provided, or
use a medicine dose-measuring device (not a kitchen spoon).
Taking lithium can make it easier for you to become dehydrated,
especially if you have any vomiting or diarrhea, if you are outdoors in
the sun, or if you exercise vigorously or sweat more than
usual. Dehydration can increase some of the side effects of lithium.
Call your doctor if you are sick with a fever and vomiting or diarrhea,
or if you are sweating more than usual. You can easily become
dehydrated while taking lithium, which may affect your dose needs. Do
not change your dose or medication schedule without your doctor's
advice.
Drink extra fluids each day to prevent dehydration.
It may take up to 3 weeks before your symptoms improve. Keep using the
medication as directed and tell your doctor if your symptoms do not
begin to improve after 1 week of treatment.
You may need frequent blood tests.
If you need surgery, tell the surgeon ahead of time that you are
using lithium.
Store at room temperature away from moisture and heat. Keep the bottle
tightly closed when not in use.
Eskalith Patient Information including If I Miss a Dose
Depression Overview:What is Depression?
Understanding Depression Slideshow
RxList
Take the Depression Quiz
Depression:Tips for Exercise Diet and Stress Reduction
Depression Tips Slideshow Pictures
What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is
almost time for your next dose. Do not take two doses at one time.
What happens if I overdose?
Stop taking lithium and seek emergency medical attention or call the
Poison Help line at 1-800-222-1222.
Early signs of lithium toxicity include: vomiting, diarrhea, tremors,
loss of balance or coordination, drowsiness, or muscle weakness.
What should I avoid while taking lithium?
Avoid driving or hazardous activity until you know how this medicine
will affect you. Your reactions could be impaired.
Avoid becoming overheated or dehydrated during exercise, in hot
weather, or by not drinking enough fluids. Follow your doctor's
instructions about the type and amount of liquids you should drink.
Do not change the amount of salt you consume in your diet. Changing
your salt intake could change the amount of lithium in your blood.
What other drugs will affect lithium?
Tell your doctor about all your current medicines. Many drugs can
affect lithium, especially:
* a diuretic or "water pill";
* fluoxetine (Prozac);
* metronidazole;
* potassium iodide thyroid medication;
* heart or blood pressure medication;
* seizure medicine; or
* NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen
(Advil, Motrin), naproxen (Aleve), celecoxib,
diclofenac, indomethacin, meloxicam, and others.
This list is not complete and many other drugs may affect lithium. This
includes prescription and over-the-counter medicines, vitamins, and
herbal products. Not all possible drug interactions are listed here.
Where can I get more information?
Your pharmacist can provide more information about lithium.
__________________________________________________________________
Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United
States are appropriate, unless specifically indicated otherwise.
Multum's drug information does not endorse drugs, diagnose patients or
recommend therapy. Multum's drug information is an informational
resource designed to assist licensed healthcare practitioners in caring
for their patients and/or to serve consumers viewing this service as a
supplement to, and not a substitute for, the expertise, skill,
knowledge and judgment of healthcare practitioners. The absence of a
warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe,
effective or appropriate for any given patient. Multum does not assume
any responsibility for any aspect of healthcare administered with the
aid of information Multum provides. The information contained herein is
not intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects. If
you have questions about the drugs you are taking, check with your
doctor, nurse or pharmacist.
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