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lithium monitoring thyroid tsh and t4
(LIH thee um)
Eskalith, Eskalith-CR, Lithobid, Lithonate, Lithotabs

What is the most important information I should know about lithium?
• Call your doctor if you experience nausea, vomiting, diarrhea, slurredspeech, extreme drowsiness, or weakness lithium monitoring thyroid tsh and t4. These symptoms may be early signs oflithium toxicity lithium monitoring thyroid tsh and t4.
• Do not crush, chew, or break any extended-release forms of lithium (e.g.,Lithobid, Eskalith CR) lithium monitoring thyroid tsh and t4. They are specially formulated to release slowly in thebody lithium monitoring thyroid tsh and t4.
• Lithium may cause dizziness or drowsiness lithium monitoring thyroid tsh and t4. Use caution when driving orperforming other hazardous activities until you know how this medication affectsyou lithium monitoring thyroid tsh and t4. If you experience dizziness or drowsiness, avoid these activities lithium monitoring thyroid tsh and t4.

What is lithium?
• Lithium is a naturally occurring substance lithium monitoring thyroid tsh and t4. As a medication, lithiumreduces chemicals in the body that cause excitation or mania lithium monitoring thyroid tsh and t4.
• Lithium is used to treat manic episodes of manic-depressive illness lithium monitoring thyroid tsh and t4. Lithium helps to prevent and control symptoms of mania such as hyperactivity,rushed speech, poor judgment, reduced need for sleep, aggression, and anger lithium monitoring thyroid tsh and t4.
• Lithium may also be used for purposes other than those listed in thismedication guide lithium monitoring thyroid tsh and t4.

What should I discuss with my healthcare provider before taking lithium?
• Before taking lithium, tell your doctor if you
· have kidney disease;
· have heart disease; or
· have thyroid problems lithium monitoring thyroid tsh and t4.
• You may not be able to take lithium, or you may require a dosage adjustmentor special monitoring if you have any of the conditions listed above lithium monitoring thyroid tsh and t4.
• Lithium is in the FDA pregnancy category D lithium monitoring thyroid tsh and t4. This means that lithium isknown to be harmful to an unborn baby lithium monitoring thyroid tsh and t4. Do not take lithium without first talkingto your doctor if you are pregnant or are planning a pregnancy lithium monitoring thyroid tsh and t4.
• Lithium passes into breast milk and may affect a nursing infant lithium monitoring thyroid tsh and t4. Do nottake lithium without first talking to your doctor if you are breast-feedinga baby lithium monitoring thyroid tsh and t4.
• Lithium may have greater effects in people over 65 years of age lithium monitoring thyroid tsh and t4. Yourdoctor may prescribe a lower dose or recommend special monitoring if you areover 65 years of age lithium monitoring thyroid tsh and t4.

How should I take lithium?
• Take lithium exactly as directed by your doctor lithium monitoring thyroid tsh and t4. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you lithium monitoring thyroid tsh and t4.
• Take each dose with a full glass of water lithium monitoring thyroid tsh and t4.
• Do not crush, chew, or break any extended-release or controlled-releaseforms of lithium (e.g., Lithobid, Eskalith CR) lithium monitoring thyroid tsh and t4. They are specially formulatedto release slowly in the body lithium monitoring thyroid tsh and t4.
• Measure the liquid form of lithium with a dose-measuring spoon or cup,not with a regular table spoon lithium monitoring thyroid tsh and t4. If you do not have a dose-measuring device,ask your pharmacist where you can get one lithium monitoring thyroid tsh and t4.
• Maintain adequate fluid intake by drinking 8 to 12 glasses of water orother fluid every day while taking lithium lithium monitoring thyroid tsh and t4. Vigorous exercise, prolonged exposureto heat or sun, excessive sweating, diarrhea, or vomiting may cause dehydrationand side effects from lithium lithium monitoring thyroid tsh and t4. Call your doctor if you lose a significant amountof body fluid as a result of sweating, diarrhea, or vomiting lithium monitoring thyroid tsh and t4.
• Your doctor may want you to have regularly scheduled blood tests duringtreatment with lithium to monitor the amount of medication in your body lithium monitoring thyroid tsh and t4.
• Do not stop taking lithium without first talking to your doctor, evenif you begin to feel better lithium monitoring thyroid tsh and t4. Treatment with lithium may be necessary even ifyou are feeling well lithium monitoring thyroid tsh and t4.
• Store lithium at room temperature away from moisture and heat lithium monitoring thyroid tsh and t4.

What happens if I miss a dose?
• Take the missed dose as soon as you remember lithium monitoring thyroid tsh and t4. However, if it is almosttime for your next dose, skip the missed dose and only take your next regularlyscheduled dose lithium monitoring thyroid tsh and t4. Do not take a double dose lithium monitoring thyroid tsh and t4.

What happens if I overdose?
• Seek emergency medical attention lithium monitoring thyroid tsh and t4.
• Symptoms of a lithium overdose include diarrhea, nausea, vomiting, drowsiness,weakness, decreased coordination, giddiness, blurred vision, ringing in theears, and seizures lithium monitoring thyroid tsh and t4.

What should I avoid while taking lithium?
• Lithium may cause dizziness or drowsiness lithium monitoring thyroid tsh and t4. Use caution when driving orperforming other hazardous activities until you know how this medication affectsyou lithium monitoring thyroid tsh and t4. If you experience dizziness or drowsiness, avoid these activities lithium monitoring thyroid tsh and t4.
• Maintain adequate fluid intake by drinking 8 to 12 glasses of water orother fluid every day while taking lithium lithium monitoring thyroid tsh and t4. Vigorous exercise, prolonged exposureto heat or sun, excessive sweating, fever, diarrhea, or vomiting may cause dehydrationand side effects from lithium lithium monitoring thyroid tsh and t4. Call your doctor if you lose a significant amountof body fluid as a result of sweating, diarrhea, or vomiting lithium monitoring thyroid tsh and t4.
• Do not change the amount of salt that you consume in your diet lithium monitoring thyroid tsh and t4. Consumingmore or less salt could change the amount of lithium in your blood lithium monitoring thyroid tsh and t4.

What are the possible side effects of lithium?
• If you experience any of the following serious side effects, stop takinglithium and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· blurred vision or eye pain;
· nausea, vomiting, or diarrhea;
· slurred speech;
· extreme drowsiness, weakness, or confusion;
· involuntary movements; or
· ringing in your ears lithium monitoring thyroid tsh and t4.
• Other, less serious side effects may be more likely to occur lithium monitoring thyroid tsh and t4. Continueto take lithium and talk to your doctor if you experience
· fine hand tremor;
· mild increase in thirst or urination;
· a rash;
· headache or mild dizziness; or
· swollen feet or hands lithium monitoring thyroid tsh and t4.
• Side effects other than those listed here may also occur lithium monitoring thyroid tsh and t4. Talk to yourdoctor about any side effects that you experience lithium monitoring thyroid tsh and t4.

What other drugs will affect lithium?
• Before taking lithium, tell your doctor if you are taking any other medications,especially any of the following:
· haloperidol (Haldol);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, Nuprin, others), ketoprofen (Orudis, Oruvail, Orudis KT), naproxen (Aleve,Anaprox, Naprosyn, others), indomethacin (Indocin), oxaprozin (Daypro), piroxicam(Feldene), nabumetone (Relafen), and others;
· a diuretic (water pill) such as hydrochlorothiazide (HCTZ, HydroDiuril,others), furosemide (Lasix), triamterene (Dyazide, Dyrenium, Maxzide), chlorothiazide(Diuril), metolazone (Mykrox, Zaroxolyn), indapamide (Lozol), bumetanide (Bumex),spironolactone (Aldactone), and amiloride (Midamor);
· an angiotensin-converting-enzyme inhibitor (ACE inhibitor) such asbenazepril (Lotensin), lisinopril (Zestril, Prinivil), fosinopril (Monopril),captopril (Capoten), enalapril (Vasotec), moexipril (Univasc), quinapril (Accupril),and ramipril (Altace);
· the calcium channel blockers diltiazem (Cardizem, Dilacor XR) or verapamil(Calan, Isoptin, Verelan);
· a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine(Prozac, Sarafem), fluvoxamine (Luvox), sertraline (Zoloft), paroxetine (Paxil),or citalopram (Celexa);
· carbamazepine (Tegretol);
· metronidazole (Flagyl);
· theophylline (Theo-Dur, Theo-Bid, Theolair, Elixophyllin, Slo-Phyllin,others); or
· acetazolamide (Diamox) lithium monitoring thyroid tsh and t4.
• You may require special monitoring or a dosage adjustment if you aretaking any of the medicines listed above lithium monitoring thyroid tsh and t4.
• Drugs other than those listed here may also interact with lithium lithium monitoring thyroid tsh and t4. Tellyour doctor and pharmacist about all other medicines that you take, includingover-the-counter preparations lithium monitoring thyroid tsh and t4. Do not take any medications without the approvalof your doctor lithium monitoring thyroid tsh and t4.

Where can I get more information?
• Your pharmacist has more information about lithium written for healthprofessionals that you may read lithium monitoring thyroid tsh and t4.

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