Lithium Toxicity in an Elderly Women within Normal Therapeutic Range : A Case Report

Authors

  • Farhana Mahmood Department of Medicine, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong

DOI:

https://doi.org/10.3329/cmoshmcj.v14i2.25723

Keywords:

Elderly, Lithium toxicity, Neurotoxicity, Cognition

Abstract

Toxic effects of lithium are usually related to high serum levels. However, several cases of significant toxicity have occurred in patients whose serum levels fell within the normal therapeutic range. Such cases are rare, but individual variations may occur and clinical judgment rather than serum levels must determine the management. A 67 years old female with bipolar disorder on lithium was admitted with an acute confusional state, tremor, restlessness, increased nausea, slurred speech, polyuria and diarrhoea. Lithium level found to be 0.6 mmol/L that is in normal range. Neurotoxicity could be suspected at serum lithium levels which are considered therapeutic in young adults.

Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 78-79

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Author Biography

Farhana Mahmood, Department of Medicine, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong



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Published

2015-11-16

How to Cite

Mahmood, F. (2015). Lithium Toxicity in an Elderly Women within Normal Therapeutic Range : A Case Report. Chattagram Maa-O-Shishu Hospital Medical College Journal, 14(2), 78–79. https://doi.org/10.3329/cmoshmcj.v14i2.25723

Issue

Section

Case Reports