[Correct treatment of mood disorders with lithium]

Nervenarzt. 2017 Nov;88(11):1323-1334. doi: 10.1007/s00115-017-0421-0.
[Article in German]

Abstract

Due to their unique therapeutic effects and high efficacy, lithium salts are recommended in guidelines, particularly for the treatment of mood disorders; however, despite the therapeutic efficacy lithium treatment is underutilized in the treatment of these disorders. The therapeutic efficacy of lithium is contrasted by a narrow therapeutic range and a potential risk of intoxication, which is why close drug monitoring is necessary during lithium treatment. Furthermore, lithium therapy requires well-founded knowledge about patient selection with respect to approved areas of administration and indications. This review article summarizes clinically relevant knowledge of lithium treatment to improve treatment of patients with mood disorders and to increase patient safety when using lithium.

Keywords: Bipolar disorders; Depressive disorders; Drug interactions; Drug monitoring; Prevention and control, mood disorders.

Publication types

  • Review

MeSH terms

  • Bipolar Disorder / diagnosis
  • Bipolar Disorder / drug therapy
  • Bipolar Disorder / psychology
  • Contraindications
  • Delayed-Action Preparations
  • Depressive Disorder / diagnosis
  • Depressive Disorder / drug therapy
  • Depressive Disorder / psychology
  • Dose-Response Relationship, Drug
  • Drug Monitoring
  • Guideline Adherence
  • Humans
  • Lithium Compounds / adverse effects
  • Lithium Compounds / therapeutic use*
  • Mood Disorders / diagnosis
  • Mood Disorders / drug therapy*
  • Mood Disorders / psychology
  • Patient Safety
  • Patient Selection
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / drug therapy
  • Psychotic Disorders / psychology
  • Recurrence
  • Treatment Outcome

Substances

  • Delayed-Action Preparations
  • Lithium Compounds