title: A case of lisinopril-induced lithium toxicity.
abstract: We describe a patient who developed lithium toxicity when lisinopril was substituted for clonidine. Possible mechanisms of angiotensin-converting enzyme (ACE) inhibitor-induced lithium toxicity are discussed. Aggressive serum lithium concentration monitoring and a reduction in the dose of lithium is advised when using ACE inhibitors because of disturbances and shifts in fluid and electrolyte balance.
authors.affiliation: University Hospital, State University of New York, Stony Brook.
authors.forename: C M
authors.initials: CM
authors.lastname: Baldwin
authors.forename: A Z
authors.initials: AZ
authors.lastname: Safferman
mesh_terms: D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects*; D000959:Antihypertensive Agents / Q000009:adverse effects*; D003967:Diarrhea / Q000150:complications / Q000209:etiology; D004347:Drug Interactions; D004656:Enalapril / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D017706:Lisinopril; D008094:Lithium / Q000506:poisoning*; D008875:Middle Aged
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D000959:Antihypertensive Agents; D004656:Enalapril; D008094:Lithium; D017706:Lisinopril