title: Thiazide-lithium synergy in refractory mood swings.
abstract: The unfortunate experience with lithium chloride as a salt substitute in the 1940s still directs the clinical usuage of lithium carbonate to a certain extent. We are still warned that lithium salts should never be used in low-sodium situations (e.g., with thiazide diuretics or salt-restricted diets); however, it has recently been shown that thiazide diuretics may be safely used in the treatment of lithium-induced nephrogenic diabetes insipidus (NDI). The authors recapitulate the dangers inherent in the use of this drug combination and present detailed clinical-pharmacologic data on 13 patients which suggest that thiazides are useful in the treatment of lithium-induced NDI and may actually synergize with lithium to produce improved mood control in some lithium-refractory manic-depressive patients.
mesh_terms: D000553:Ambulatory Care; D001581:Benzothiadiazines; D001714:Bipolar Disorder / Q000188:drug therapy*; D003919:Diabetes Insipidus / Q000139:chemically induced / Q000517:prevention & control; D004232:Diuretics; D004357:Drug Synergism; D004359:Drug Therapy, Combination; D006760:Hospitalization; D006801:Humans; D008094:Lithium / Q000009:adverse effects / Q000097:blood / Q000627:therapeutic use*; D049993:Sodium Chloride Symporter Inhibitors / Q000627:therapeutic use*
chemical_list: D001581:Benzothiadiazines; D004232:Diuretics; D049993:Sodium Chloride Symporter Inhibitors; D008094:Lithium