A Case of Lithium Toxicity within Normal Creatinine Range during Lithium Maintenance Treatment / 신경정신의학
Journal of Korean Neuropsychiatric Association
;
: 434-437, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-75289
ABSTRACT
Lithium is a widely used drug for treatment of bipolar disorder. Because of its narrow therapeutic range and renal toxicity, most clinical guidelines recommend regular monitoring of serum lithium level and kidney function for patients taking lithium. We report on a case of a 20 year-old man with occurrence of lithium toxicity after more than one year of lithium maintenance therapy with daily lithium intake of 900 mg. His serum creatinine level was within normal range at admission and elevated compared to his baseline, but still within normal range when lithium toxicity occurred. Acute kidney injury associated with dehydration, analgesics, and nephrotoxic effect of lithium might be a risk factor of lithium toxicity. This case showed the importance of thorough monitoring of serum creatinine level change even if its elevated result is within normal range in observing renal function of patients treated with lithium.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Valores de Referência
/
Transtorno Bipolar
/
Anti-Inflamatórios não Esteroides
/
Fatores de Risco
/
Creatinina
/
Desidratação
/
Injúria Renal Aguda
/
Analgésicos
/
Rim
/
Lítio
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Neuropsychiatric Association
Ano de publicação:
2014
Tipo de documento:
Artigo
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