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Published on: May 22, 2018
Lithium: challenges of being king.
Gurubhaskar Shivakumar1,2,3, Kinga Szymaniak1,2, Erica Bell1,2
1Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, https://ror.org/0384j8v12The University of Sydney, Australia.
Lithium is a unique mood stabilizer that treats and prevents mania and depression. Despite its benefits, including neuroprotection and reduced suicide risk, its clinical use has declined, and this paper advocates for wider adoption.
Area of Science:
- Psychiatry
- Neuroscience
- Pharmacology
Background:
- Lithium is the sole mood stabilizer with efficacy in both treating and preventing manic and depressive episodes.
- Despite established benefits, lithium's clinical application has diminished.
- Emerging evidence highlights lithium's neuroprotective and anti-suicidal properties.
Purpose of the Study:
- To review the multifaceted benefits of lithium therapy.
- To advocate for the expanded clinical utilization of lithium.
- To re-evaluate lithium's role in managing mood disorders.
Main Methods:
- Literature review of lithium's efficacy and safety.
- Analysis of clinical guidelines and prescribing trends.
- Synthesis of evidence on neuroprotective and anti-suicidal effects.
Main Results:
- Lithium demonstrates robust efficacy in acute and long-term mood stabilization.
- Neuroprotective effects include potential modulation of neurotrophic factors and reduction of brain atrophy.
- Significant reduction in suicide attempts and completed suicides has been associated with lithium treatment.
Conclusions:
- Lithium remains a cornerstone therapy for mood disorders, offering unique mood-stabilizing properties.
- Its neuroprotective and anti-suicidal benefits warrant greater clinical recognition and application.
- Increased advocacy for lithium's use is crucial for optimizing patient outcomes in psychiatry.
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