Lithium Syrup and Oral Solution and Spironolactone Oral Suspension
Determining the interaction of Lithium Syrup and Oral Solution and Spironolactone Oral Suspension 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:Talk to your doctor before using lithium and spironolactone The combination may increase lithium levels. This combination may cause diarrhea, vomiting, drowsiness, tremor, thirst, lack of coordination, or muscle weakness. If you take both medications together, tell your doctor if you have any of these symptoms. You may need a dose adjustment or special test if you take both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:GENERALLY AVOID: Spironolactone and triamterene may increase serum lithium levels, resulting in a high risk of lithium toxicity. The mechanism is reduced renal clearance of lithium.
MANAGEMENT: Concurrent use of diuretics and lithium should generally be avoided. Extreme caution is recommended if they must be used together. Lithium levels should be monitored daily and lithium dose reductions may be required. Patients should be advised to notify their physician if they experience drowsiness, dizziness, weakness, ataxia, vomiting, diarrhea, tinnitus,tremor, thirst, blurry vision, or increased urination.
- "Product Information. Aldactone (spironolactone)." Searle, Skokie, IL.
- Vipond AJ, Bakewell S, Telford R, Nicholls AJ "Lithium toxicity." Anaesthesia 51 (1996): 1156-8
- "Product Information. Eskalith (lithium)." SmithKline Beecham, Philadelphia, PA.
- Bennett WM "Drug interactions and consequences of sodium restriction." Am J Clin Nutr 65 (1997): S678-81
- Gillman MA, Lichtigfeld FJ "Synergism of spironolactone and lithium in mania." Br Med J 292 (1986): 661-2
- Mehta BR, Robinson BH "Lithium toxicity induced by triamterene-hydrochlorothiazide." Postgrad Med J 56 (1980): 783-4
Generic Name: lithium
Brand name: Lithobid, Eskalith, Lithonate, Lithotabs, Eskalith-CR
Synonyms: Lithium
Generic Name: spironolactone
Brand name: Aldactone, CaroSpir
Synonyms: Spironolactone
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.
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