HI josemanuel.
THANKS FOR YOUR QUESTION.
YES YOU RIGHTLY SAID
LITHIUM IS A VERY TOXIC DRUG WITH LOTS OF SIDE EFFECT SO IT ALMOST OBSOLETE IN WESTERN COUNTRY BUT IN OUR COUNTRY IT IS STILL HUGELY USED DUE TO ITS HIGH EFFICACY AND VERY LOW COST .THOUGH THE ANSWER IS NOT STRAIGHTCUT THAT LITHIUM MAJORITY OF THE TIME ITS ACTION
UNDERWEIGHT ITS SIDE EFFECT.
FOR THIS WE DO A PRELITHIUM WORK UP TO EVERY PATIENT BEFORE STARTING LITHIUM.IT ALL COMPRISES LITHIUM MAJOR SIDE EFFECT
1.ROUTINE BLOOD COUNT-AS LITHIUM CAUSES INCREASE
WBC COUNT
2.TSH-LITHIUM CAUSES HYPOTHYROID
3.ECG-LITHIUM CAUSES NON SPECIFIC ST-T CHANGES AND SOMETIME
HEART BLOCK.
4.BLOOD FOR UREA.CREATININE-LITHIUM CAUSES RENAL FUNCTION IMPAIRMENT.
5.URINE FOR ROUTINE AND 24 HORS URINE FOR ALBUMIN-AS LITHIUM CAUSES EXCESS ALBUMIN SECERTION IN URINE BUE TO RENAL DAMAGE.
THANK YOU
DR SOURAV GANGULY