Reviews'What a timely appearance of this excellent publication! This year, we observe the 60th anniversary of Geoffrey Hartigan's article, which first discovered the prophylactic activity of lithium in mood disorders. In the following years, lithium became a gold standard for preventing affective episodes in bipolar illness. Furthermore, many beneficial psychiatric properties of lithium have been established, such as the augmentation of antidepressant drugs and the great benefits of long-term treatment, including antisuicidal, neuroprotective, and antiviral effects. Yet in recent years, the art of lithium treatment has deteriorated, and the use of this valuable drug decreased, probably due to the introduction of other mood-stabilizing medications and a reluctance to employ lithium by psychiatrists, simply uninformed in this respect. And here comes Stahl's book, with its rectifying and educational message for psychiatrists. The book is bringing hope that, after its careful reading, more patients will become the beneficiaries of lithium therapy.' Janusz Rybakowski, Professor Emeritus and previous Head, Department of Adult Psychiatry, Poznan University of Medical Sciences; Corresponding member of the Polish Academy of Sciencesiciaries of lithium therapy.' Janusz Rybakowski, Professor Emeritus and previous Head, Department of Adult Psychiatry, Poznan University of Medical Sciences; Corresponding member of the Polish Academy of Sciencesiciaries of lithium therapy.' Janusz Rybakowski, Professor Emeritus and previous Head, Department of Adult Psychiatry, Poznan University of Medical Sciences; Corresponding member of the Polish Academy of Sciencesiciaries of lithium therapy.' Janusz Rybakowski, Professor Emeritus and previous Head, Department of Adult Psychiatry, Poznan University of Medical Sciences; Corresponding member of the Polish Academy of Sciences, 'This is the most authoritative and comprehensive exposition of lithium to date. Lithium is the only medication in psychiatric practice that could be reasonably considered as disease-modifying, and so is worthy of a dedicated exposition of its chemistry, physiological impact, clinical efficacy and safety. Drs Meyer and Stahl deftly explain putative mechanisms of lithium action with both accessibility and nuance. This is a must have for any practitioner prescribing in the mental health space.' Manpreet Kaur Singh, M.D., M.S., Associate Professor of Psychiatry and Behavioral Sciences, Stanford University, Stanford
IllustratedYes
Dewey Decimal546/.381
Table Of ContentIntroduction; 1. The efficacy story; 2. Renal handling of lithium; 3. Clinical pharmacokinetics; 4. Lithium initiation and monitoring; 5. Management of routine lithium related adverse effects; 6. Lithium toxicity; 7. Special populations and circumstances; 8. Lithium discontinuation; Index.
SynopsisA highly illustrated and clinically oriented handbook exploring the use of lithium for mood disorders, and management of treatment related issues. Providing a unique and modern reappraisal of lithium's renal risks and detailed rationales for treatment management. An important text for mental health professionals worldwide., Worldwide efforts to promote greater lithium use for mood disorders have increased the need for evidence-based guidance addressing key questions related to initiation, monitoring and adverse effect management. This practical handbook provides clinicians with a detailed explanation of lithium's renal journey, how this informs our understanding of polyuria pathogenesis and how medications or hyponatremia can alter lithium clearance. Covering efficacy, pharmacokinetics, toxicity, discontinuation, and use in special patient groups including pregnant and breastfeeding women, older or younger patients, each section also provides a detailed background for its suggested logical approach to managing lithium's renal and other adverse effects. Using the latest data, the book outlines rationales for specific management decisions, and prioritizes options to provide clinical guidance on the best course of action. Colour-coded lists and tables, bulleted text, and diagrams illustrate important points throughout, helping to make information accessible and easy-to-digest. An essential resource for mental health professionals worldwide.
LC Classification NumberQD181.L5M49 2023