With the aid of a case report, acute confusional state secondary to the combined use of fluoxetine and lithium is described. This is an important side-effect of the combination and its recognition and management are discussed.
Lithium and anticholinergic combination to maintain a stable lithium plasma level
✍ Scribed by S. Eralp Bellibas; Sibel Ülker; Kazim Akfert; Professor Dr Isik Tuglular; Simavi Vahip
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 285 KB
- Volume
- 9
- Category
- Article
- ISSN
- 0885-6222
No coin nor oath required. For personal study only.
✦ Synopsis
The effect of lithium and propantheline, an anticholinergic agent, combination on plasma and red blood cell (RBC) lithium levels was studied to test if this combination could maintain a stable plasma lithium level for a long-lasting period by delaying gastric emptying, in rabbits. There was a significant difference in plasma lithium levels between control and propantheline-administered groups (p < 0-01). The peak level seen in the second hour of lithium administration in the control group was not observed in the propantheline-administered group and a stable lithium level was maintained. It was suggested that a lithium and anticholinergic drug combination can be an alternative in eliminating the peak plasma levels of lithium and preventing the side-effects thought to be related to this factor.
📜 SIMILAR VOLUMES