Serum lithium levels of 1.5-2.0 mM may have mild and reversible toxic effects on kidney, liver, heart, and glands. Serum levels of >2 mM may be associated with neurological symptoms, including cerebellar dysfunction. Prolonged
Lithium is generally safe to take for a long time. Most people take it for years with no problems. If you've been taking lithium for some time, it can cause weight gain. It can also cause problems with your kidneys or thyroid gland.
The main problems associated with long-term lithium treatment include kidney, thyroid, and probably cognitive issues.
The most common thyroid side effects associated with long-term lithium treatment are hypothyroidism and goiter. The prevalence of hypothyroidism during lithium treatment varies from 6% to 50%, with significantly higher female preponderance.
At a neuronal level, lithium reduces excitatory (dopamine and glutamate) but increases inhibitory (GABA) neurotransmission; however, these broad effects are underpinned by complex neurotransmitter systems that strive to achieve homeostasis by way of compensatory changes.
The process of extracting lithium consumes significant amounts of water and energy, and lithium mining can pollute the air and water with chemicals and heavy metals. In addition, mining lithium can disrupt wildlife habitats and cause soil erosion, leading to long-term ecological damage.
Serum lithium levels of 1.5-2.0 mM may have mild and reversible toxic effects on kidney, liver, heart, and glands. Serum levels of >2 mM may be associated with neurological symptoms, including cerebellar dysfunction. Prolonged lithium intoxication >2 mM can cause permanent brain damage.
Adverse effects were the most common cause for lithium discontinuation. Among the adverse effects, diarrhoea, tremor, creatinine increase, polyuria/polydipsia/diabetes insipidus and weight gain were the top five reasons for discontinuing lithium.
Lithium is a common medicine used to help calm mood for treating people with mental disorders. Since such disorders need lifelong treatment, long-term use of lithium may be harmful to organs, such as the kidneys.
Lithium has adverse effects on the kidneys, thyroid gland and parathyroid glands, necessitating monitoring of these organ functions through periodic blood tests. In most cases, lithium-associated renal effects are relatively mild.
We assessed the association between lithium use and the incidence of dementia and its subtypes, including Alzheimer disease (AD) and vascular dementia (VD). We found that lithium was associated with a lower risk of receiving a diagnosis of dementia, including a lower risk of being diagnosed with either AD or VD.
Lithium has been associated with impaired memory, word finding difficulties, and impaired recall. Often, my patients have reported a cognitive "dulling" and a loss of cognitive "creativity" with lithium use that they found most disturbing.
Studies have shown that the average lithium-induced weight gain is between 4.85 and 22 lbs. Also, keep in mind that different causes contribute to lithium-induced weight gain - we will discuss them in more detail below.
It will probably take several weeks to see big enough changes in your symptoms to decide if lithium is the right medication for you. Mood stabilizer treatment is generally needed lifelong for persons with bipolar disorder.
The life expectancy for someone with bipolar disorder is approximately 67 years old. A 2021 study researched the effect of bipolar disorder on longevity and found that: risk of death is 2.6 times greater than the general population. the average life span is between 8–12 years shorter than the general population.
In mild lithium toxicity, symptoms include weakness, worsening tremor, mild ataxia, poor concentration and diarrhea. With worsening toxicity, vomiting, the development of a gross tremor, slurred speech, confusion and lethargy emerge (Bauer and Gitlin 2016).
Lithium is used to treat mania that is part of bipolar disorder (manic-depressive illness).
If you have to stop taking lithium for any reason, talk to your GP about taking an antipsychotic or valproate instead.
Of 873 patients treated with lithium, 54% discontinued lithium, corresponding to 561 episodes of lithium discontinuation. In 62% of episodes, lithium was discontinued due to adverse effects, in 44% due to psychiatric reasons, and in 12% due to physical reasons interfering with lithium treatment.
In control or responding neurons, lithium enables beta-catenin to pair with LEF1. But in unresponsive BD patients, lithium is ineffective because LEF1 levels are too low for the pairing to occur, so there's no regulation of cell activity.
Lithium plays a critical role, from slowing the aging process to protecting the brain and improving mental health, and more. Small daily doses of lithium may be an effective way to slow aging and cognitive decline and extend life.
Lithium has been shown to delay the progression of Alzheimer's disease to reduce the prevalence of dementia.
► Exposure to Lithium can cause loss of appetite, nausea, vomiting, diarrhea and abdominal pain. ► Lithium can cause headache, muscle weakness, twitching, blurred vision, loss of coordination, tremors, confusion, seizures and coma.
Ignoring or missing signs of toxicity, especially over time, can result in serious complications, including coma or death. Untreated cases of lithium toxicity can also lead to permanent complications, such as brain damage, kidney damage, and serotonin syndrome.