Prescription Required 
Formulation : 
Description
Indications
Lithium is prescribed to manage and forestall episodes of mania, characterized by frenzied and excessively excited moods, in individuals diagnosed with bipolar disorder. This condition entails experiencing alternating episodes of depression, mania, and other abnormal mood states. Classified as an antimanic agent, lithium operates by reducing abnormal brain activity.
Uses and Dosage
Lithium is available in tablet, capsule, extended-release tablet, and liquid solution forms for oral administration. Typically, tablets, capsules, and solution are taken three to four times a day, while extended-release tablets are usually taken two to three times daily. It’s essential to take lithium at consistent times every day.
Follow the prescribed dosage precisely; do not exceed or reduce it, or take it more frequently than instructed by your doctor.
When taking the extended-release tablet, swallow it whole without chewing, splitting, or crushing it.
Your doctor may adjust your medication dosage during your treatment. Adhere strictly to these directives.
Although lithium may aid in managing your condition, it does not offer a cure. It might take 1 to 3 weeks or even longer for you to experience the full therapeutic effects of lithium.
Continue taking lithium even if you feel well, and do not discontinue it without consulting your doctor.
Side Effects
Some side effects may occur that usually do not need medical attention:
- restlessness
- fine hand movements that are difficult to control
- mild thirst
- loss of appetite
- stomach pain
- gas
- indigestion
- weight gain or loss
- dry mouth
- excessive saliva in the mouth
- change in the ability to taste food
- swollen lips
- acne
- hair loss
- unusual discomfort in cold temperatures
- constipation
- depression
- joint or muscle pain
- paleness
Inform your healthcare provider immediately if you experience any serious side effects:
- unusual tiredness or weakness
- excessive thirst
- frequent urination
- slow, jerky movements
- movements that are unusual or difficult to control
- blackouts
- seizures
- fainting
- dizziness or lightheadedness
- fast, slow, irregular, or pounding heartbeat
- shortness of breath
- chest tightness
- confusion
- hallucinations (seeing things or hearing voices that do not exist)
- crossed eyes
- painful, cold, or discolored fingers and toes
- headache
- pounding noises inside the head
- swelling of the feet, ankles, or lower legs
Caution
- Before beginning lithium treatment, it’s important to inform your doctor or pharmacist about any allergies you have, including to lithium itself, or to any inactive ingredients such as propylene glycol, which may be present in the product.
- Discuss your medical history with your healthcare provider before using this medication, especially if you have heart disease, kidney disease, urinary problems, underactive thyroid, seizures, Parkinson’s disease, leukemia, dehydration, any infection with high fever, or certain skin disorders like psoriasis.
- Rarely, lithium treatment may reveal an underlying condition affecting heart rhythm, such as Brugada syndrome, which can be life-threatening. Inform your doctor before starting lithium treatment if you have any risk factors for Brugada syndrome, including unexplained fainting or a family history of certain heart problems.
- Be cautious as this drug may cause dizziness, drowsiness, or blurred vision. Alcohol or marijuana use can intensify these effects, so avoid activities requiring alertness or clear vision until you can do them safely.
- If you experience heavy sweating or severe diarrhea, consult your doctor immediately for guidance on continuing lithium treatment. Take precautions in hot weather or during activities causing heavy sweating, such as hot baths, saunas, or exercise.
- Notify your doctor if you are pregnant or planning pregnancy. It’s not advisable to become pregnant while using lithium, as it may harm an unborn baby. However, untreated mental/mood problems like bipolar disorder can also pose risks to both mother and baby. Don’t stop taking lithium without consulting your doctor; instead, discuss alternative medications if needed. If you become pregnant or plan pregnancy while on lithium, talk to your doctor immediately about the risks and benefits.
- Lithium passes into breast milk and may have adverse effects on a nursing infant. Breastfeeding is not recommended while using this medication.
Form and Strength
Lithmax is available in the following forms and strengths:
- lithium carbonate extended-release tablet:
- 300 mg
FAQ
Is Lithmax an antipsychotic?
No, Lithmax is classified as a mood stabilizer. Depending on the type and severity of your bipolar disorder symptoms, your provider might put you on both lithium and an antipsychotic.
Does Lithmax cause weight gain?
Weight gain isn’t a commonly reported side effect of Lithmax .
Resources
- https://www.goodrx.com/lithium/what-is#faqs
- https://www.medbroadcast.com/drug/getdrug/lithane#google_vignette
- https://www.mayoclinic.org/drugs-supplements/lithium-oral-route/description/drg-20064603
- https://www.webmd.com/drugs/2/drug-57117/lithane-oral/details
- https://medlineplus.gov/druginfo/meds/a681039.html#:~:text=Lithium%20is%20used%20to%20treat,of%20medications%20called%20antimanic%20agents
- https://www.drugs.com/lithium.html
