A Retrospective Chart Review of Lithium Side Effects in a Geriatric Outpatient Population

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
Suzanne Holroyd, Peter V Rabins

Abstract

The charts of 114 elderly outpatients with mood disorders treated with lithium were reviewed to determine the incidence of side effects. Patients had been treated with lithium for an average of 7.5 years, with an average serum lithium level of 0.5. Overall, 61.4% of patients experienced side effects from lithium at some point in their treatment, but only 0.11 side effects occurred per patient per year. Two (1.8%) patients had to discontinue lithium because of side effects and four (3-5%) required hospitalization. Delirium was the most common side effect noted (19.3%). Side effects occurred both at low ("subtherapeutic") and higher serum lithium levels. Variables significantly associated with experiencing side effects included male sex and higher serum lithium level. Hypothyroidism was significantly associated with longer length of time in years treated with lithium.

Citations

Apr 3, 2012·Journal of Geriatric Psychiatry and Neurology·Soham RejKenneth Shulman
Sep 24, 2004·Bipolar Disorders·Colin A Depp, Dilip V Jeste
Mar 16, 2007·European Addiction Research·H-C SteinhausenF Pfund
May 10, 2000·Drugs & Aging·B A SprouleK I Shulman
Feb 1, 1997·Journal of Clinical Psychopharmacology·B G HardyC Zucchero
Mar 2, 2021·International Journal of Geriatric Psychiatry·Marinke FlapperRob Kok

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