Lithium is a widely used and effective long term learn more here for bipolar disorders. Its use is associated with thyroid abnormalities commonly reported in the literature. Lithium affects normal functioning through multiple mechanisms.
It inhibits synthesis and release of thyroid hormones and may reduce the thyroid iodine uptake. Lithium can induce thyrocyte proliferation by intoxication lithium sfar mechanisms: Lithium finally affects different parameters of the immune system. Lithium intoxication lithium intoxication lithium sfar hyperthyroidism is a less common and controversial finding. Lithium increases thyroid autoimmunity if present before therapy.
Patients taking lithium should not stop the drug if thyroid dysfunction develops. Practicing clinicians managing lithium treated patients should be aware of these potential intoxication lithium sfar. Adequate monitoring is essential in order to identify them and thus institute early and appropriate treatment. Home Publications Conferences Register Contact. Guidelines Upcoming Intoxication lithium sfar Issues.
Review Article Open Access. MahdiaSfar Intoxication lithium sfar Author: Thyroid Disorders Ther 3: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, intoxication lithium sfar, and reproduction in any medium, provided the original author and source intoxication lithium sfar credited.
Select your language of interest to view the total content in your intoxication lithium language. Can't read the image? Agri and Aquaculture Journals Dr. Lithium was first discovered as a chemical element in Around this time, it was discovered that a solution of lithium carbonate could dissolve stones made of urate. Use of lithium carbonate which is the current pill form of lithium to prevent depression came in [ 1 ].
Currently, lithium salts are used to treat mania, refractory and recurrent depression and allergy quest lisinopril disorders [ intoxication lithium sfar ]. Despite recent advances in pharmacological treatment intoxication lithium sfar psychiatric disorders, lithium remains an effective and inexpensive long-term therapy for bipolar intoxication lithium sfar [ 3 ].
Although efficacious, lithium treatment is associated with a variety of adverse effects, mainly intoxication lithium sfar, nephrogenic diabetes insipidus and intoxication lithium sfar [ 45 ]. Intoxication lithium sfar review article will discuss the main thyroid disorders associated intoxication lithium sfar lithium treatment.
A number of salts of lithium are available in immediate and sustained release compounds. After an oral dose, lithium peak intoxication lithium sfar concentrations are reached in and hours for the immediate intoxication lithium sfar sustained release formulations respectively. Once absorbed, lithium reaches the extracellular fluid and gradually accumulates in the tissues. Because it is low protein bound, it is freely filtered by the kidneys and its excretion is dependent on intoxication lithium sfar filtration rate [ 6 ].
Its elimination half-life is hours and may be longer with increasing age [ 67 ]. Lithium has a narrow therapeutic range; therefore, it is very important to monitor its plasma concentrations in patients under treatment. The oral intoxication lithium sfar of lithium and the plasma concentrations achieved are of fundamental importance to ensure both optimum efficacy and adequate tolerability [ intoxication lithium sfar ].
The therapeutic intoxication lithium sfar concentrations of lithium are reasonably article source defined intoxication lithium sfar. Concentrations greater than 0. Toxic reactions appear as a result of elevated tissue concentrations [ 11 ].
Lithium also inhibits the N-methyl-D-aspartate receptor-mediated calcium influx, contributing to calcium homeostasis and suppressing calcium-dependent activation intoxication lithium sfar pro-apoptotic signaling pathways.
In addition, lithium decreases inositol 1,4,5-trisphosphate intoxication lithium sfar inhibiting phosphoinositol phosphatases, a process recently identified as a novel mechanism prevacid action inducing autophagy [ 12 ].
Lithium also modules release of neurotransmitters, and decreases glutamatergic activity contributing to neuroprotection [ 13 ]. Lithium accumulates in thyroid tissue against a concentration gradient, by active transport. In treated patients, it induces intoxication lithium sfar and functional disturbances of the thyroid gland. Lithium interfers intoxication lithium sfar thyroid hormones synthesis at two levels:. In rats, lithium reduces radioiodine uptake into thyroid and salivary glands in-vivo intoxication lithium sfar in-vitro.
The effects are different in humans where lithium intoxication lithium intoxication lithium sfar has been reported to result in both a reduced as well as an increase in thyroidal radioiodine.
The possible mechanisms for this are that lithium intoxication lithium sfar compete for iodide transport resulting in low thyroid iodine uptake; it also causes iodide retention, the increase in uptake may also be due to thyroidstimulating hormone TSH intoxication lithium sfar as a result of lithium-induced hypothyroidism [ 14 ]. The intoxication lithium sfar thyroidal action of lithium what is tablets used uk to intoxication lithium sfar thyroid hormone synthesis and release.
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