A patient with bipolar disorder has been stable for a number of years on lithium. They develop essential hypertension and require treatment. Which of the following is least likely to have an effect on their lithium levels?
Exam Question Oct 2014
Loop diuretics can cause problems when used alongside lithium, although they generally don't. Beta blockers (atenolol) do not affect lithium levels.
Exam Question Oct 2014
Loop diuretics can cause problems when used alongside lithium, although they generally don't. Beta blockers (atenolol) do not affect lithium levels.
Lithium monitoring
Monitoring of patients on lithium therapy
- Inadequate monitoring of patients taking lithium is common - NICE and the National Patient Safety Agency (NPSA) have issued guidance to try and address this. As a result it is often an exam hot topic
- Lithium blood level should 'normally' be checked every 3 months. Levels should be taken 12 hours post-dose
- Thyroid and renal function should be checked every 6 months patients should be issued with an information booklet, alert card and record book
