Recommencing lithium in Older Adults with Bipolar I Disorder. (December 2017)

• Record Type: Journal Article
• Authors: Gallur, Lara; Powell, Alice; Flynn, Patrick
• Is Part Of: Australasian psychiatry. Volume 25:Number 6(2017:Dec.)
• Page Start: 571
• Page End: 573
• Publication Date: 2017-12
• Subjects: bipolar disorder -- cognition -- elderly -- lithium -- renal impairment; Psychiatry -- Australasia -- Periodicals; Psychiatry -- Periodicals; 616.89005
• DOI: 10.1177/1039856217738374
• Languages: English
• ISSNs: 1039-8562

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.