Therapeutic Drug Monitoring: Lithium

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Questions and Answers

What is the primary indication for lithium therapy?

  • Treatment of manic episodes of bipolar disorder (correct)
  • Prophylaxis of cluster headache
  • Augmentation of antidepressant pharmacotherapy for depression
  • Premenstrual tension

What is the available dosage form of lithium carbonate?

  • Injection for intravenous use
  • Tablets in strengths of 100 mg or 200 mg
  • Extended-release capsules in strengths of 300 mg or 450 mg (correct)
  • Oral solution containing 8 mEq/5mL

What is one of the off-label uses of lithium?

  • Prevention of Alzheimer's disease
  • Prophylaxis of cluster headache (correct)
  • Management of generalized anxiety disorder
  • Treatment of schizophrenia

What is the neuroprotective property that has led to the study of lithium for applications in acute head injuries and chronic neurodegenerative disorders?

<p>Protection against oxidative stress (B)</p> Signup and view all the answers

What is the mechanism of action of lithium?

<p>Competition with other cations at receptor supersensitivity and tissue blockage (B)</p> Signup and view all the answers

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Study Notes

Lithium Therapy

  • Primary indication for lithium therapy is the treatment of bipolar disorder.

Dosage Forms of Lithium Carbonate

  • Lithium carbonate is available in various dosage forms, including tablets, capsules, and oral solutions.

Off-Label Uses of Lithium

  • One of the off-label uses of lithium is as an adjunct treatment for major depressive disorder.

Neuroprotective Properties of Lithium

  • Lithium's neuroprotective property has led to its study for applications in acute head injuries and chronic neurodegenerative disorders, such as Alzheimer's disease and Huntington's disease.

Mechanism of Action of Lithium

  • The mechanism of action of lithium involves the modulation of neurotransmitter systems, including serotonin, dopamine, and norepinephrine.
  • Lithium also inhibits the activity of certain enzymes involved in the phosphatidylinositol signaling pathway.

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