acute mania: 750-1000mg daily in divided dose with food. max dose is 2500 daily
250-1000mg in divided daily doses for prophylaxis
Counselling for lithium?
Regular blood tests (renal and thyroid function)
Be alert for signs and symptoms of lithium toxicity (eg extreme thirst and frequent urination, nausea and vomiting), especially during illness, excessive sweating or low fluid intake; if these occur, stop taking the
tablets and seek medical attention immediately.
avoid taking with hot drinks.
Maintain a normal diet with regular salt and fluid intake.
Drink more fluid during hot weather to avoid toxicity.
Avoid sodium bicarbonate (found in products such as indigestion medicines, eg Salvital®, and products like Ural®, Citralite® or Citravescent®) as it makes lithium less effective.