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The British Journal of Psychiatry 152: 535-538 (1988)
© 1988 The Royal College of Psychiatrists

Supervising lithium. A comparison of a lithium clinic, psychiatric out- patient clinics, and general practice

G Masterton, M Warner and B Roxburgh
Yeovil District Hospital.

Supervision of lithium treatment among three groups of patients treated in different settings - at a lithium clinic, as hospital out-patients, and by a GP - was studied. The lithium clinic maintained lower levels and checked these more frequently. Elevated lithium levels were most frequent in the GP-supervised group, which also included the 13 patients with the most impaired glomerular filtration. In hospital settings GFR-impaired patients received a lower daily dose of lithium; in general practice, affected patients had a higher mean serum lithium level and were more frequently prescribed lithium once daily. We conclude that patients with glomerular impairment who require lithium should be supervised by a specialist, or at least prescribed lithium in divided daily doses.




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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1988 The Royal College of Psychiatrists.