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lithium carbonate oral Overview

Lithium carbonate is an inorganic compound, the lithium salt of carbonate with the formula Li2CO3. This white salt is widely used in the processing of metal oxides and has received attention for the treatment of bipolar disorder. It exists as the rare mineral zabuyelite.

It is on the World Health Organization's List of Essential Medicines, a list of the most important medication needed in a basic health system

Lithium orotate, is a salt of orotic acid and lithium. It is available as the monohydrate, LiC5H3N2O4·H2O. In this compound, lithium is non-covalently bound to an orotate ion, rather than to a carbonate or other ion. It is marketed as a dietary supplement used in small doses to treat certain medical conditions, such as stress, bipolar disorder, depression, suicidal ideations, alcoholism,ADHD, attention deficit disorder, aggression, PTSD, Alzheimer's and to improve memory. Intake of lithium has well documented positive neurological effects, and appears to be effective even in trace amounts.Still, lithium orotate's safety remains in question. There have been numerous case reports of patients requiring medical attention after taking lithium orotate supplements.

Properties

Like related lithium salts, Li2CO3 is an ionic compound. Its solubility in water is low relative to other lithium salts. The isolation of lithium from aqueous extracts of lithium ores capitalizes on this poor solubility. Its apparent solubility increases tenfold under a mild pressure of carbon dioxide; this effect is due to the formation of the metastable bicarbonate:

Li2CO3 + CO2 + H2O → 2 LiHCO3

The extraction of lithium carbonate at high pressures of CO2 and its precipitation upon depressuring is the basis of the Quebec process. Approximately 30,000 tons were produced in 1989. Lithium carbonate, and other carbonates of Group 1, do not decompose readily, unlike other carbonates. Li2CO3 decomposes at temperatures ~1300 C.

Extraction and production

Lithium is extracted from primarily two sources: pegmatite crystals and lithium salt from brine pools. Lithium oxide is typically mixed with a specific ratio of carbonate to produce the industry standard of lithium carbonate. Lithium carbonate and oxygen gas can be made by combining lithium peroxide with carbon dioxide.

Medical uses

In 1843, lithium carbonate was used as a new solvent for stones in the bladder. In 1859, some doctors recommended a therapy with lithium salts for a number of ailments, including gout, urinary calculi, rheumatism, mania, depression, and headache. In 1949, John Cade discovered the anti-manic effects of lithium ions. This finding led lithium, specifically lithium carbonate, to be used to treat mania associated with bipolar disorder.

Lithium carbonate is used to treat mania, the elevated phase of bipolar disorder. Lithium ions interfere with ion transport processes (see “sodium pump”) that relay and amplify messages carried to the cells of the brain. Mania is associated with irregular increases in protein kinase C (PKC) activity within the brain. Lithium carbonate and sodium valproate, another drug traditionally used to treat the disorder, act in the brain by inhibiting PKC’s activity and help to produce other compounds that also inhibit the PKC. Despite these findings, a great deal remains unknown regarding lithium's mood controlling properties.

Some studies have suggested therapeutic benefit of lithium carbonate in certain neuromuscular conditions like amyotrophic lateral sclerosis (ALS) and spinal muscular atrophy. A 2010 controlled trial of lithium carbonate in ALS did not confirm earlier suggestions, finding the compound ineffective and possibly toxic in ALS patients. Other research suggests that low dose Lithium supplementation may protect the brain and encourage the growth of grey matter in the cerebral cortex and prevent and slow the progression of Alzheimer's Disease. The two forms of lithium used for Alzheimer's Disease, however, are lithium aspartate and lithium orotate.

LITHIUM CARBONATE ORAL WARNING

If you are using quetiapine in combination with other medication to treat depression, also carefully read the drug information for the other medication.

Quetiapine sustained-release is used to treat certain mental/mood disorders (such as schizophrenia, bipolar disorder, sudden episodes of mania or depression associated with bipolar disorder). It is also used with other medications to treat depression. Drugs used to treat depression can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially people younger than 25) who take drugs to treat depression may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of drugs used to treat depression (especially for people younger than 25), even if treatment is not for a mental/mood condition.

Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new drug to treat depression is started or when the dose is changed.

LITHIUM CARBONATE ORAL USES

Uses

Lithium carbonate is an important industrial chemical. It forms low-melting fluxes with silica and other materials. Glasses derived from lithium carbonate are useful in ovenware. Lithium carbonate is a common ingredient in both low-fire and high-fire ceramic glaze. Its alkaline properties are conducive to changing the state of metal oxide colorants in glaze particularly red iron oxide (Fe2O3). Cement sets more rapidly when prepared with lithium carbonate, and is useful for tile adhesives. When added to aluminium trifluoride, it forms LiF which gives a superior electrolyte for the processing of aluminium. Lithium carbonate is an active material of carbon dioxide sensors. It is also used in the manufacture of most lithium-ion battery cathodes, which are made of lithium cobalt oxide

LITHIUM CARBONATE ORAL SIDE EFFECTS

Side effects

Use of lithium salts have a number of risks and side effects, especially at higher doses. Lithium intoxication affects the central nervous and renal systems and is potentially lethal.

LITHIUM CARBONATE ORAL PRECAUTIONS

Before taking quetiapine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: eye cataracts, liver disease, low white blood cell count (including history of low white blood cell count caused by medications), seizure disorder, trouble swallowing, thyroid problems, stomach/intestinal blockage (such as severe constipation, bowel obstruction), stomach/intestines that are not moving (such as ileus).

Also tell your doctor or pharmacist if either you or a family member has a history of the following: diabetes, heart disease, high blood pressure, high cholesterol/triglyceride levels, obesity.

This drug may make you dizzy, drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages.

Quetiapine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can infrequently result in serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.

The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using quetiapine, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

LITHIUM CARBONATE ORAL INTERACTIONS

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Many drugs besides quetiapine may affect the heart rhythm (QT prolongation), including amiodarone, moxifloxacin, procainamide, quinidine, sotalol, thioridazine, among others.

Other medications can affect the removal of quetiapine from your body, which may affect how quetiapine works. Examples include azole antifungals (such as itraconazole, ketoconazole), rifamycins (such as rifampin), drugs used to treat seizures (such as carbamazepine, phenytoin), among others.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine). Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

This medication may interfere with certain laboratory tests (including urine tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug

LITHIUM CARBONATE ORAL OVERDOSE

If overdose is suspected, contact a poison control center or emergency room Symptoms of overdose may include: severe drowsiness, loss of consciousness.

NOTES:

Do not share this medication with others.

Keep all regular medical and psychiatric appointments. Laboratory and/or medical tests (such as blood sugar, blood pressure, cholesterol levels, eye exams, weight, blood counts) should be performed before you start treatment, periodically to monitor your progress, or to check for side effects. Consult your doctor for more details.

MISSED DOSE:

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE:

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Information last revised July 2013. Copyright(c) 2013 First Databank, Inc.

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