TY - JOUR PY - 2017// TI - Clinically relevant treatment considerations regarding lithium use in bipolar disorder JO - Expert opinion on drug metabolism and toxicology A1 - Richardson, Tara A1 - Macaluso, Matthew SP - 1105 EP - 1113 VL - 13 IS - 11 N2 - The goal of this paper is to provide a practical, clinically oriented review of lithium, a salt widely used to treat mania since the 1870s and formally approved as a mood stabilizer in 1970. Although lithium is still considered a first-line treatment for bipolar mania in most practice guidelines, its use may be overshadowed by newer psychotropic medications. Areas covered: This paper addresses the historical use of lithium, modern indications for its use, guidelines for prescribing and monitoring continued lithium use, drug-drug interactions, and pharmacodynamics/pharmacokinetic properties. The paper also reviews the unique properties of lithium and their potential clinical importance. Expert opinion: While the use of lithium does involve some unique risks to the patient, it may also has some unique advantages in certain patient populations. Two major findings that make lithium unique are its potential neuroprotective benefits and decreased risk of suicide in patients with mood disorders.

Language: en

LA - en SN - 1742-5255 UR - http://dx.doi.org/10.1080/17425255.2017.1386653 ID - ref1 ER -