Publication:
Chronic Lithium Toxicity in Old Age Patients Taking Angiotensin Receptor Blocker: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorPandey, Asim
dc.contributor.authorKhanal, Kunjan
dc.contributor.authorJha, Anushree
dc.contributor.authorBasnet, Prava
dc.contributor.authorBhattarai, Dipesh
dc.date.accessioned2025-08-22T05:15:25Z
dc.date.available2025-08-22T05:15:25Z
dc.date.issued2023
dc.descriptionAsim 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
dc.description.abstractAbstract 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.
dc.identifierhttps://doi.org/10.31729/jnma.8346
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1914
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleChronic Lithium Toxicity in Old Age Patients Taking Angiotensin Receptor Blocker: A Case Report
dc.typeOther
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage903
oaire.citation.startPage901
relation.isJournalIssueOfPublication9380e6f7-494d-40b2-a2ce-3f02ecf3b957
relation.isJournalIssueOfPublication.latestForDiscovery9380e6f7-494d-40b2-a2ce-3f02ecf3b957
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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