Publication: Chronic Lithium Toxicity in Old Age Patients Taking Angiotensin Receptor Blocker: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Chronic lithium toxicity is a potentially serious side effect on patients taking lithium for a prolonged period with the diagnosis of mood disorders. The toxicity is even higher in patients taking drugs that interfere with the metabolism of lithium like angiotensin receptor blockers and in older patients with reduced kidney function. In this report, we present the case of a 62-year-old woman who presented to the emergency department with symptoms including loose stools, generalised body weakness, slurred speech, coarse hand tremors, and dystonia persisting for fifteen days. She had been under lithium therapy for bipolar type 1 disorder for 15 years before experiencing these symptoms, which emerged shortly after the addition of telmisartan (angiotensinogen receptor blocker) for hypertension.
Description
Asim Pandey
Norvic International Hospital, Thapathali, Kathmandu, Nepal
Kunjan Khanal
Green City Hospital Pvt Ltd, Basundhara, Kathmandu, Nepal
Anushree Jha
Kathmandu Cancer Center, Bhaktapur, Changunarayan, Nepal
Prava Basnet
Hebei Medical University, Shijiazhuang, Hebei, China
Dipesh Bhattarai
Department of Psychiatry, Green City Hospital, Basundhara, Kathmandu, Nepal