Recommencing lithium in Older Adults with Bipolar I Disorder.

Recommencing lithium in Older Adults with Bipolar I Disorder.

Australas Psychiatry. 2017 Oct 01;:1039856217738374

Authors: Gallur L, Powell A, Flynn P

Abstract
OBJECTIVES: This paper addresses considerations in recommencing lithium in elderly patients with Bipolar I Disorder and medical comorbidity. We focus on nephrotoxicity and cognitive impairment.
METHODS: Case reports and review of relevant literature.
RESULTS: Three elderly psychogeriatric inpatients admitted with severe manic relapse following lithium cessation are described. In all cases, lithium was recommenced safely with good response.
CONCLUSIONS: Even with medical comorbidity it may be possible to recommence modified lithium therapy.

PMID: 29087206 [PubMed - as supplied by publisher]