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Pharmacopsychiatry 2020; 53(05): 235-236
DOI: 10.1055/a-1167-3267
Letter to the Editor

Case of Severe Acute-on-Chronic Lithium Intoxication with 8.6 mmol/l and Prompt Hemodialysis

Robert Haussmann 
1   Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Dresden, Germany
,
Markus Donix
1   Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Dresden, Germany
,
Michael Bauer
1   Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Dresden, Germany
,
Simone von Bonin
2   Internal Medicine, University Hospital Carl Gustav Carus, Dresden, Germany
,
Ute Lewitzka
1   Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Dresden, Germany
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Lithium has been the gold standard in the long-term treatment of bipolar disorder for more than 40 years [1]. Due to a narrow therapeutic index lithium intoxication still is a common but potentially avoidable clinical problem [2]. The possibility of SILENT-syndrome (syndrome of irreversible lithium-effectuated neurotoxicity) illustrates that prevention and optimal treatment of lithium intoxication is vitally important [3].

Key words

lithium intoxication - SILENT-syndrome - extracorproreal treatment - Bipolar disorder - lithium


Publication History

Received: 03 April 2020

Accepted: 24 April 2020

Article published online:
11 May 2020

© 2020. Thieme. All rights reserved.

© Georg Thieme Verlag KG
Stuttgart · New York

 

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