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4 - Lithium Initiation and Monitoring

Baseline Assessment; Loading and Initiation Methods; Target Serum Levels; Monitoring Intrinsic Renal Function with New eGFRcr-cys Formula; Office and Laboratory Methods for Monitoring Polyuria; Monitoring Thyroid and Parathyroid Function

Published online by Cambridge University Press:  09 February 2024

Jonathan M. Meyer  and
Stephen M. Stahl
Jonathan M. Meyer
Affiliation:
University of California, San Diego
Stephen M. Stahl
Affiliation:
University of California, San Diego
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Summary

While the literature abundantly documents lithium’s unique efficacy profile and the limitations of non-lithium therapies, starting a patient on lithium requires the complete array of one’s clinical skills. One core ability relates to appropriate pharmacological use of lithium, including dosing, level monitoring, and management of drug interactions and adverse effects that lead to discontinuation [1]; however, it is facility in communicating with patients and eliciting their illness beliefs, their ideas about the need for any treatment, and their specific thoughts about lithium therapy that is crucial to minimizing nonadherence [2].

Type
Chapter
Information
The Lithium Handbook
Stahl's Handbooks
 , pp. 203 - 250
Publisher: Cambridge University Press
Print publication year: 2023

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