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Psychiatry & Psychotherapy Podcast

Lithium Indications, Mechanism, Monitoring, & Side Effects

Psychiatry & Psychotherapy Podcast

David J Puder

Science, Health & Fitness, Medicine

4.81.3K Ratings

🗓️ 5 September 2019

⏱️ 58 minutes

🧾️ Download transcript

Summary

Lithium is indicated for a number of things. Most clearly, as a mood stabilizer in bipolar spectrum disorders. It is unique among mood stabilizers in that it is very robustly anti-manic. The medication treats and prevents manic episodes from occurring, providing fairly robust prophylaxis against mood cycling. Lithium is also effective in treating bipolar depression, though not as effectively. Very few of the other mood stabilizers are effective for the depressed pole of bipolar illness.

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Transcript

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0:00.0

Hello and welcome to the Psychiatry and Psychothermic Podcast.

0:12.2

I'm here to talk about getting rid of burnout, increasing job satisfaction, and feeling

0:16.6

like an expert in what you do.

0:18.6

One thing that created a lot of burnout and angst for me was trying to get continued medical

0:22.0

education right at the last minute.

0:24.2

So why not join the CME membership and do CME while listening to this podcast?

0:28.6

Go to Psychiatrypodcast.com, sign up, sign in, take the test, and the certification

0:32.5

is emailed to you in seconds.

0:36.0

Hello and welcome back to the podcast.

0:37.1

I am here today with Dr. Cummings, and today we are going to be talking about lithium.

0:42.0

What we consider our best mood stabilizer.

0:44.5

Now there is no drug companies coming to your door, banging on your doors, telling you

0:48.4

to prescribe lithium or take lithium because it is essentially a metal.

0:54.4

You hear about it in lithium ion batteries, but in low doses, it can be very, very good

0:58.4

for bipolar, bipolar depression, suicidality, anger, which is more of a impulsive anger.

1:06.7

And in this episode, we are going to be going through the uses of it, the mechanisms.

1:11.8

We're going to be talking about a lot of the nuance on levels and how to dose it.

1:16.8

We're going to be talking about how to use it in pregnancy, how after the first five

1:20.9

weeks, it is no longer a risk for Epstein anomaly.

1:24.2

We're going to be talking about how to use it when there are kidney issues or issues

1:28.5

with tremor or hypothyroidism.

1:31.4

And finally, I think we in the U.S. need to look at this more in Europe.

...

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