Generic Name: Lithobid
What is Lithobid?
Therefore, after reviewing the evidence in this case, we have no reason to doubt the district court's determination that the evidence did not justify the first jury's verdict. As we noted earlier, the function of a new trial motion is to permit a district court a means of correcting errors short of an appeal.
Accordingly, we hold that the district court did not abuse its discretion when it granted Clifford's motion for a new trial.
Our holding that the district court properly granted Clifford's motion for a new trial reverses the court of appeals on the only issue that court addressed on appeal. The alternative issues raised by Geritom before the court of appeals and not addressed by that court remain unresolved.
Therefore, we remand this case to the court of appeals for consideration of Geritom's remaining issues in a manner consistent with this opinion. We note that Clifford presented at least one other theory of liability, namely, that Geritom was negligent in failing to include an information insert with the Lithobid that would have alerted Clifford, who was very conscious about her medications, that there was an error.
However, our discussion focuses on causation as it relates to how the prescription information came to be on the bottle of Lithobid dispensed by Geritom. This focus is the result of our attempt to reconcile the jury's finding that Dr. In the memorandum attached to its order granting a new trial, the district court noted that the likely reason for the jury's mistake was the improper statements of defense counsel alluding to potential superseding causes.
However, the district court's articulated ground for granting a new trial was that the evidence did not justify the verdict and we affirm on that ground.
Consultation with a cardiologist is recommended if: 1 treatment with lithium is under consideration for patients suspected of having Brugada Syndrome or patients who have risk factors for Brugada Syndrome, e.
Renal Effects Chronic lithium therapy may be associated with diminution of renal concentrating ability, occasionally presenting as nephrogenic diabetes insipidus, with polyuria and polydipsia. Such patients should be carefully managed to avoid dehydration with resulting lithium retention and toxicity. This condition is usually reversible when lithium is discontinued.
Morphologic changes with glomerular and interstitial fibrosis and nephron atrophy have been reported in patients on chronic lithium therapy.
Morphologic changes have also been seen in manic-depressive patients never exposed to lithium. The relationship between renal function and morphologic changes and their association with lithium therapy have not been established. Kidney function should be assessed prior to and during lithium therapy. Routine urinalysis and other tests may be used to evaluate tubular function eg, urine specific gravity or osmolality following a period of water deprivation, or 24-hour urine volume and glomerular function eg, serum creatinine or creatinine clearance.
During lithium therapy, progressive or sudden changes in renal function, even within the normal range, indicate the need for reevaluation of treatment. Encephalopathic Syndrome An encephalopathic syndrome characterized by weakness, lethargy, fever, tremulousness and confusion, extrapyramidal symptoms, leukocytosis, elevated serum enzymes, BUN, and FBS has occurred in a few patients treated with lithium plus a neuroleptic, most notably haloperidol.
In some instances, the syndrome was followed by irreversible brain damage. Because of possible causal relationship between these events and the concomitant administration of lithium and neuroleptic drugs, patients receiving such combined therapy or patients with organic brain syndrome or other CNS impairment should be monitored closely for early evidence of neurologic toxicity and treatment discontinued promptly if such signs appear.
This encephalopathic syndrome may be similar to or the same as Neuroleptic Malignant Syndrome NMS. Concomitant Use with Neuromuscular Blocking Agents Lithium may prolong the effects of neuromuscular blocking agents.
How should I take Lithobid?
Cautious dasatinib administration is recommended to patients who have or may develop QT prolongation such as patients taking drugs that lead to QT prolongation. Daunorubicin: Lithium should be used cautiously with daunorubicin. Acute ECG changes during anthracycline therapy are usually transient and include ST-T wave changes, QT prolongation, and changes in QRS voltage. Sinus tachycardia is the most common arrhythmia, but other arrhythmias such as supraventricular tachycardia SVTventricular tachycardia, heart block, and premature ventricular contractions PVCs have been reported.
Degarelix: Degarelix should be used cautiously and with close monitoring with lithium.
What should I avoid while taking Lithobid?
If concomitant drug use is unavoidable, frequently monitor electrocardiograms. Asenapine: Some atypical antipsychotics, including asenapine, are indicated as adjunctive therapy to mood stabilizers such as lithium.
Because both asenapine and lithium have been associated with QT prolongation, they should be combined cautiously and with close monitoring. It is also advisable to monitor patients for neurotoxicity during co-administration. Subsequent rare reports of NMS or NMS-like reactions have been described during co-administration of lithium and atypical antipsychotics e. Asenapine does not have an effect on the pharmacokinetic parameters of lithium.
Lithobid side effects
Romidepsin: Lithium should be used cautiously and with close monitoring with romidepsin. Romidepsin has been reported to prolong the QT interval.
If romidepsin must be coadministered with another drug that prolongs the QT interval, appropriate cardiovascular monitoring precautions should be considered, such as the monitoring of electrolytes and ECGs at baseline and periodically during treatment. S-adenosyl-L-methionine, SAM-e: Traditionally, there has been concern that the addition of an agent with antidepressant action to lithium or other therapies for bipolar illness could augment pharmacologic effect, induce mania or hypomania, or increase the risk for side effects.
Similar effects have been reported with the use of SAM-e clinically. The routine addition of SAM-e to other conventional medications used in bipolar disorders, especially lithium, is not currently recommended until the mechanism of action of SAM-e with regard to neurotransmitter function or receptor activity is clarified.
Salmeterol: Lithium should be used cautiously and with close monitoring with beta-agonists. Salsalate: NSAIDs interfere with lithium excretion and may lead to elevated lithium serum concentrations.
Common Lithobid ide effects may include:
Lithium ADRs have also been noted to increase simultaneously with a reduction in caffeine intake.
It is compiled from sources such as the U.
Suicidal thoughtsWhile talking with a patient about taking chlorpromazine, which of the following instructions should the health care professional include.
A benefit versus risk assessment is essential before administering lithium to patients with significant renal or cardiovascular disease, severe debilitation or dehydration, sodium depletion, or to patients receiving diuretics, ACE inhibitors, or NSAIDs, since the risk of lithium toxicity is very high in such patients.
The dose for it to work well is very close to the amount that causes overdose, so you have to be careful, watch out for symptoms, and get help immediately if you accidentally take too much.
How it worksTried Lithobid lithium. Drug also known asUsed forDosage forms1 pill image available for Lithobid lithium First few hoursHoursFirst few daysDaysFirst few weeksWeeksFirst few monthsMonthsStarts to kick inFull effectsFirst few hoursHoursFirst few daysDaysFirst few weeksWeeksFirst few monthsMonthsStomach problemsIncreased thirstWeight gainSkin problemsTremorWorse coordinationSkip side effects section.
Where can I get more information?
Blood level monitoring is recommended to decrease the risk of potential toxicity.
Usage In Pregnancy Adverse effects on nidation in rats, embryo viability in mice, and metabolism in vitro of rat testis and human spermatozoa have been attributed to lithium, as have teratogenicity in submammalian species and cleft palate in mice.