Lithium

Lithium is risky to use during pregnancy as there is evidence of risk to the baby. Your doctor may prescribe it in life-threatening situations only if the benefits outweigh the possible risks. Therefore, always discuss with your doctor before starting this medicine.

Avoid breastfeeding while taking Lithium as it may pass into breast milk and harm the baby.

Lithium may cause side effects that affect your ability to drive. It may make you feel tired, sleepy or dizzy. It may also cause effects that can make driving hazardous, such as paralysis, weakness, numbness or seizures.

Avoid alcohol while taking Lithium as it may cause side effects such as dizziness, drowsiness and difficulty concentrating.

Lithium is not suggested for patients with hypothyroidism (underactive thyroid) as it may increase the risk of low thyroid hormone levels. So, if you have hypothyroidism, notify your doctor before taking Lithium. Thyroid levels are usually tested before starting treatment so that if the levels are too low, Lithium is not prescribed.

Yes, Lithium may cause weight gain, but not everyone taking it will experience this side effect. To avoid gaining weight while taking Lithium, you are advised to exercise regularly and avoid high-calorie drinks. Rather, take non-alcoholic beverages, herbal tea and lemon water.

Yes, Lithium may cause dehydration, particularly if you have low sodium in the body or drink too much alcohol. If you notice dark, strong-smelling urine or a reduction in urination, it suggests that you are dehydrated, which may affect lithium levels in the blood. Accordingly, you are advised to drink plenty of fluids while taking Lithium to prevent dehydration.

Yes, Lithium may cause kidney problems. It is not prescribed for patients who already have severe kidney damage. Before starting treatment with Lithium, your doctor will arrange blood tests to check that your kidneys work normally. While taking Lithium, any gradual or sudden changes in kidney function, even within the normal range, may indicate the need to review the therapy.

Yes, Lithium can cause nervous system effects such as tiredness, dizziness and feeling frightened. It can also affect eye movements, or cause blurred vision or blind spots in your eyesight. If you experience any of these, discuss them with your doctor. Avoid driving or operating heavy machinery as it can be dangerous.