Epitol and Lithium Capsules
Determining the interaction of Epitol and Lithium Capsules and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Before taking carBAMazepine, tell your doctor if you also use lithium. You may need dose adjustments or special tests in order to safely take both medications together. You should notify your doctor if you have symptoms of tremor, poor muscle coordination, exaggeration of reflexes, confusion, drowsiness, or tiredness. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using your medications without first talking to your doctor first.
Professional:MONITOR: The combination of lithium and carbamazepine, although generally well tolerated, has been reported to cause lethargy, muscular weakness, ataxia, dystonia, a tardive dyskinesia-like syndrome, tremor, sinus node dysfunction. The mechanism is unknown.
MANAGEMENT: Close monitoring for lithium toxicity, altered thyroxine levels, and adverse neurologic and cardiac effects. Patients should be advised to report possible neurotoxic symptoms (tremor, ataxia, hyperreflexia, nystagmus, confusion, drowsiness, or lethargy).
- Lazarus A "Tardive dyskinesia-like syndrome associated with lithium and carbamazepine." J Clin Psychopharmacol 14 (1994): 146-7
- Shukla S, Godwin CD, Long LE, Miller MG "Lithium-carbamazepine neurotoxicity and risk factors." Am J Psychiatry 141 (1984): 1604-6
- Steckler TL "Lithium- and carbamazepine-associated sinus node dysfunction: nine-year experience in a psychiatric hospital." J Clin Psychopharmacol 14 (1994): 336-9
- Ghose K "Interaction between lithium and carbamazepine." Br Med J 286 (1980): 1122
- Chaudhry RP, Waters BG "Lithium and carbamazepine interaction: possible neurotoxicity." J Clin Psychiatry 44 (1983): 30-1
Generic Name: carbamazepine
Brand name: Carbatrol, Epitol, Equetro, Tegretol, Tegretol XR, Tegretol, Tegretol XR
Synonyms: n.a.
Generic Name: lithium
Brand name: Lithobid, Eskalith, Lithonate, Lithotabs, Eskalith-CR
Synonyms: Lithium
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Epitol-Lithium Capsules and Tablets
- Epitol-Lithium Carbonate
- Epitol-Lithium Carbonate ER Tablets
- Epitol-Lithium Carbonate Tablets
- Epitol-Lithium Citrate Syrup
- Epitol-Lithium Controlled-Release and Extended-Release Tablets
- Lithium Capsules-Epivir
- Lithium Capsules-Epivir (Lamivudine Oral Solution)
- Lithium Capsules-Epivir (Lamivudine Tablets)
- Lithium Capsules-Epivir A/F
- Lithium Capsules-Epivir HBV
- Lithium Capsules-Epivir-HBV (Lamivudine Oral Solution)