Abstract| Volume 43, ISSUE 12, P2386-2387, December 2017

Lithium toxicity – Long term monitoring practice – A survey of psychiatrists

      Lithium is a widely used and highly effective treatment for mood disorders. However, a narrow therapeutic index, requiring routine monitoring of serum concentrations, is one of the clinical disadvantages. The first case of lithium-associated hyperparathyroidism (LAH) was reported in 1973. Longer duration of treatment is associated with increased incidence of LAH. 25% of patients on lithium have a thyroid or parathyroid abnormality, so regular monitoring of renal and endocrine function was recommended in a recent systematic review and meta-analysis. LAH is almost always caused by a single parathyroid adenoma. The treatment is parathyroid surgery. The aim of this study was to assess if calcium and parathyroid hormone levels are routinely checked in patients on lithium treamtmenttreatment.
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