Mania during maintenance hemodialysis successfully treated with oral lithium carbonate

A 25-year-old maintenance hemodialysis patient suffered an episode of mania. Oral lithium carbonate given as a single 600-mg dose following each dialytic treatment sustained serum lithium levels in the 0.6 to 0.8 mEq/l range. Clinical remission occurred quickly and was maintained throughout a 6-month follow-up period. No significant side effects were noted.