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What Can Be Done For Kidney Distress While On Lithim For Bipolar Disorder?

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Posted on Tue, 1 Oct 2019
Question: Hi, my name is XXXX and I am diagnosed with bipolar since 1996, I have been through the gambit of meds and only one seems to really help - lithim. Well my psychiatrist tells me that my BUN and creatinine are starting to show signs of kidney distress. I don’t have access to a kidney doc so I cholamicatal again which soes Nothing for me. And ideas? Depacote makes me sick. Lithium is the only thing that controls my symptoms and helps me feel better.... please can you help me?!?!
Thank You
XXXX
doctor
Answered by Dr. Seikhoo Bishnoi (20 minutes later)
Brief Answer:
Other mood stabilisers can be tried.

Detailed Answer:
Hello thanks for asking

I can understand your problem. If your renal function tests are showing renal impairment then in that case you should avoid Lithium totally.

Lithium can prove harmful to kidneys and renal impairment can worsen lithium toxicity.

You can keep other mood stabilisers as options. You didn’t find relief with Depakote or Valproate then other mood stabilisers like Carbamazepine or Lamotrigine can be tried. Even low dose second generation antipsychotic drugs like Olanzapine or Risperidone can be used. Olanzapine is safe to use and will provide good mood stabilisation.

You can talk with your doctor for this.

Thanks

Please don’t hesitate to ask again if you need more clarifications.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Seikhoo Bishnoi (3 days later)
Hi, I have provided some attachments. Please review them.
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Answered by Dr. Seikhoo Bishnoi (14 hours later)
Brief Answer:
Please upload the attachments again

Detailed Answer:
Hello again

I am not finding the attachments. Please upload again, and if you have any problems then please contact customer care, they will help in uploading the attachments.

Thanks.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

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Practicing since :2007

Answered : 5193 Questions

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What Can Be Done For Kidney Distress While On Lithim For Bipolar Disorder?

Brief Answer: Other mood stabilisers can be tried. Detailed Answer: Hello thanks for asking I can understand your problem. If your renal function tests are showing renal impairment then in that case you should avoid Lithium totally. Lithium can prove harmful to kidneys and renal impairment can worsen lithium toxicity. You can keep other mood stabilisers as options. You didn’t find relief with Depakote or Valproate then other mood stabilisers like Carbamazepine or Lamotrigine can be tried. Even low dose second generation antipsychotic drugs like Olanzapine or Risperidone can be used. Olanzapine is safe to use and will provide good mood stabilisation. You can talk with your doctor for this. Thanks Please don’t hesitate to ask again if you need more clarifications.