Lithium Serum Level
Lithium levels measure how much lithium is in your blood to make sure it's at a safe and helpful level for treating mood disorders.

Heavy Metals & Toxicology
Overview
Lithium is a naturally occurring mineral and a medication often used to treat mood disorders, such as bipolar disorder. It helps to balance mood swings by influencing how certain chemicals in the brain function. Monitoring lithium serum levels in the blood is crucial because the effective dose is very close to the dose that can cause side effects - it’s like walking a tightrope where balance is key. Regular blood tests ensure that lithium levels stay within a safe and helpful range, allowing the medication to work properly without causing harm. This careful balance is important for everyone using lithium therapy to support their mental health, whether male or female.
Testing Levels:
- High (1.2 mmol/L) - If lithium levels are higher than the recommended range, it means there is too much lithium in your blood, which can be harmful - a condition known as lithium toxicity. Symptoms might include feeling sick, diarrhoea, muscle weakness, confusion, shakiness, or in serious cases, seizures or heart problems. This situation needs immediate medical attention to lower the lithium levels and prevent serious health issues.
- Mid - Lithium levels within the reference range mean that the amount of lithium in your blood is just right - enough to help manage your mood without causing unwanted side effects. It’s like having the perfect temperature bath: comfortable and effective. This balance helps the medication do its job properly, supporting your mental health in a safe way.
When lithium levels are near the upper limit, it suggests that they are getting close to being too high. While you might not feel any different yet, it’s a sign to be cautious. Your doctor may decide to adjust your dose slightly to bring the levels back to the middle of the safe range, helping to avoid any potential side effects.
If lithium levels are near the lower end, it might mean that there's not quite enough lithium to fully help with your mood symptoms. It's similar to using too little sugar in a cake - the result isn't quite what you hoped for. Your doctor might think about adjusting your dose to ensure the medication can work as well as possible for you. - Low (0.6 mmol/L) - Lithium levels below the reference range indicate that there may not be enough medication in your system to be effective. This could happen if doses are missed, if there's an interaction with another medication, or if your body is processing the lithium more quickly than usual. Without enough lithium, mood symptoms might not be properly controlled, so your treatment plan might need a review.
Why We Test Lithium Serum Level
Testing lithium levels is essential if you're taking lithium medication. It ensures you're getting the right amount - not too much that could cause side effects, and not too little that might not help your symptoms. Regular testing helps keep your treatment safe and effective, supporting your well-being.
What Affects It
Several factors can influence lithium levels in your blood. Your kidneys play a big role because they filter and remove lithium from your body. If your kidneys aren't working well, lithium can build up, leading to higher levels. How much water you drink matters too - getting dehydrated can make lithium levels rise, while drinking a lot of fluids can lower them. Some medications, like certain pain relievers (such as ibuprofen), blood pressure medicines, and diuretics (water pills), can affect lithium levels. Even your diet, especially how much salt you consume, can make a difference because lithium and sodium (salt) are processed in similar ways by your body.
How to Improve
If your lithium levels are high or close to being high, it's important to talk to your doctor straight away. They might adjust your dose or check if anything else is affecting your lithium levels, like other medications or how your kidneys are working. Drinking the right amount of water and keeping your salt intake steady can help. If your levels are low or close to being low, your doctor might increase your dose or see if you're missing doses or if something is lowering your lithium levels. Always take your medication exactly as prescribed and let your healthcare provider know about any changes in your health or other medicines you're taking.
Common Name: Lithium

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