Lithium toxicity following Roux-en-Y gastric bypass: Mini review and illustrative case-Reference-Cited by-同舟云学术

Lithium toxicity following Roux-en-Y gastric bypass: Mini review and illustrative case

Published:2022-06-01 Issue:3 Volume:12 Page:214-218
ISSN:2168-9709
Container-title:Mental Health Clinician
language:en
Short-container-title:

Author:

Ayub Shahana¹^ORCID,Saboor Sundas²^ORCID,Usmani Sadia^ORCID,Javed Sana³^ORCID,Tonpouwo Gauvain Kankeu⁴^ORCID,Ahmed Saeed⁵^ORCID

Affiliation:

1. 1 Psychiatrist, Cornerstone Family Health, Newburgh, New York

2. 2 Physician, Khyber Medical College, Peshawar, Khyber Pakhtunkhwa, Pakistan

3. 4 Physician, Nishtar Medical University, Multan, Punjab, Pakistan

4. 5 Physician, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo

5. 6 Addiction Psychiatrist, Rutland Regional Medical Center, Rutland, Vermont

Abstract

Abstract Lithium is among the mainstays of treatment for bipolar disorder. Bariatric surgery can considerably change the oral bioavailability of drugs, particularly lithium. In this review, a 36-year-old male patient is described, who presented with lithium toxicity, including neurologic and gastric symptoms after undergoing Roux-en-Y gastric bypass. The mechanism of lithium toxicity is discussed; recommendations for clinicians regarding lithium use in postsurgical patients are provided; and previous case reports of lithium toxicity post-gastric bypass surgery are analyzed. Awareness and education of lithium absorption changes postbariatric surgery is essential for optimal patient care. Close clinical and drug concentration level monitoring is warranted.

Publisher

College of Psychiatric and Neurologic Pharmacists (CPNP)

Subject

Pharmacology (medical),Neurology (clinical),General Pharmacology, Toxicology and Pharmaceutics,Neuropsychology and Physiological Psychology

Link

https://meridian.allenpress.com/mhc/article-pdf/12/3/214/3071092/i2168-9709-12-3-214.pdf

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