Lithium

Lithium is a mood stabilizer commonly prescribed to treat bipolar disorder, particularly to manage and prevent episodes of mania and depression. It is in a class of medications called antimanic agents.

Lithium works by helping to balance the chemicals in the brain that influence mood and behavior. It is one of the most established treatments for bipolar disorder and is also sometimes used to augment the effects of antidepressants in cases of major depressive disorder when other treatments have not been effective.

To start your journey towards getting help, use our booking widget to schedule a session with one of our psychiatric prescribers. After choosing a prescriber, you can book either an in-person or online appointment. During this session, you'll have the opportunity to discuss your feelings and symptoms. Your psychiatric prescriber will then customize your treatment plan to address your unique needs. If a prescription is necessary, such as Lithium, you can have it filled at your local pharmacy.

Generally, yes. Most insurance plans do cover Lithium, though prior authorization might be required, and some limitations could apply, such as caps on monthly or annual reimbursements.

The cost of Lithium with insurance varies based on your coverage. With insurance and a discount card, you might pay as little as $15 for a 100-capsule prescription of 30 mg Lithium. It’s important to confirm with your healthcare provider before filling your prescription.

Medicaid and Medicare also cover many mental health medications, including Lithium. However, Medicaid coverage can vary by state, so it’s essential to check your specific plan’s details and costs before filling your prescription.

Cost of Lithium Without Insurance

The cost of Lithium without insurance can vary widely depending on where you buy it. Typically, a month’s supply of Lithium without insurance ranges from $50 to $200. Prices may be higher for extended-release or brand-name versions. Fortunately, there are resources like coupon cards and manufacturer discounts that can help reduce the cost of Lithium.

If you’re planning to become pregnant, it’s crucial to inform your healthcare provider to ensure your medications are managed appropriately. Those with bipolar disorder who wish to conceive should carefully consider the risks and benefits of their treatment with their doctor.

Lithium has been linked to a slight increase in the risk of Ebstein’s anomaly, a heart valve defect. Despite the low risk, a fetal heart ultrasound is recommended between 16 and 20 weeks. Lithium levels should be monitored regularly throughout pregnancy, particularly near delivery. Never discontinue lithium without consulting your healthcare provider, as this could lead to symptom relapse.

When it comes to breastfeeding, caution is advised since lithium can pass into breast milk. Generally, breastfeeding is not recommended while on lithium.

Lithium is typically taken 1-3 times a day, with or without food.

Patients usually start with a low dose that is gradually increased over several weeks. The daily dosage generally ranges from 600 mg to 1200 mg, but some individuals may require higher doses based on their weight or symptoms. Your healthcare provider will determine the appropriate dose for you.

For extended-release tablets, swallow them whole without crushing or chewing. If you’re using the liquid form, measure it accurately with a dosing spoon or oral syringe, available from your pharmacy.

While taking lithium, it’s important to avoid alcohol and illegal drugs, as they can reduce the medication’s effectiveness and increase side effects like sedation. Additionally, steer clear of low sodium diets and dehydration, as these can heighten the risk of lithium toxicity.

Be cautious with pain medications containing NSAIDs, such as ibuprofen or naproxen, as they can also raise toxicity risks. Limit your intake of caffeinated beverages, as they may lower lithium levels, reducing its effectiveness. If you’re considering reducing or stopping caffeine, consult your healthcare provider first.

Common side effects include headache, nausea, diarrhea, dizziness or drowsiness, changes in appetite, dry mouth, increased thirst, increased urination, thinning of hair or hair loss, and an acne-like rash.

In rare instances, lithium can cause a condition called diabetes insipidus, which is usually reversible. If this occurs, you might experience a significant increase in thirst, fluid intake, and urination. If you notice that you’re urinating more frequently than usual, it’s important to talk to your doctor.

Rare and serious side effects can occur with any medication and may be influenced by individual risk factors. Please consult your prescriber to discuss the common side effects of this medication.

It’s crucial to keep your doctor informed about how you’re feeling during the first few weeks of starting lithium. It may take several weeks to notice significant changes in your symptoms, so patience is key to determining if lithium is the right fit for you.

For individuals with bipolar disorder, mood stabilizers like lithium are often needed for long-term management. Your doctor will guide you on the appropriate duration of treatment based on your specific symptoms and overall condition.