Lithium citrate

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A chemical compound used in the treatment of mood disorders


Chemical structure of lithium citrate

Lithium citrate is a chemical compound that is used primarily in the treatment of bipolar disorder and other mood disorders. It is a salt of lithium and citric acid.

Chemical Properties

Lithium citrate is a white, crystalline powder that is soluble in water. It is composed of lithium ions and citrate ions, which are derived from citric acid. The chemical formula for lithium citrate is Li3C6H5O7.

Medical Uses

Lithium citrate is used as a mood stabilizer in the treatment of bipolar disorder, particularly in the management of mania and depression. It helps to stabilize mood swings and reduce the risk of suicide in individuals with bipolar disorder.

Mechanism of Action

The exact mechanism by which lithium citrate exerts its mood-stabilizing effects is not fully understood. However, it is believed to involve the modulation of neurotransmitter activity in the brain, including the regulation of serotonin and dopamine pathways.

Side Effects

Common side effects of lithium citrate include increased thirst, increased urination, weight gain, and hand tremors. More serious side effects can include kidney dysfunction, thyroid abnormalities, and lithium toxicity, which requires careful monitoring of blood lithium levels.

Administration

Lithium citrate is typically administered orally in the form of a liquid or tablet. The dosage is adjusted based on the patient's response and blood lithium levels, which are monitored regularly to ensure therapeutic effectiveness and prevent toxicity.

History

Lithium salts, including lithium citrate, have been used in medicine since the 19th century. They were initially used to treat gout and rheumatism, but their mood-stabilizing properties were discovered in the mid-20th century.

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Contributors: Prab R. Tumpati, MD