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Recommencing lithium in Older Adults with Bipolar I Disorder
Lara Gallur1, Alice Powell2, Patrick Flynn3
1Psychiatry Registrar, Central Adelaide Local Health Network, Adelaide, SA; Clinical Lecturer, Discipline of Psychiatry, University of Adelaide, Adelaide, SA, Australia.
Objectives:
This paper addresses considerations in recommencing lithium in elderly patients with Bipolar I Disorder and medical comorbidity. We focus on nephrotoxicity and cognitive impairment.
Methods:
Case reports and review of relevant literature.
Results:
Three elderly psychogeriatric inpatients admitted with severe manic relapse following lithium cessation are described. In all cases, lithium was recommenced safely with good response.
Conclusions:
Even with medical comorbidity it may be possible to recommence modified lithium therapy.
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