Lithium toxicity.
We report a case of severe lithium toxicity precipitated by a thiazide diuretic and compounded by an angiotensin converting enzyme inhibitor. There was severe vasodilatation refractory to noradrenaline.
Vipond
A J
AJ
Royal Devon and Exeter Hospital.
Bakewell
S
S
Telford
R
R
Nicholls
A J
AJ
D000806:Angiotensin-Converting Enzyme Inhibitors / Q000009:adverse effects; D018692:Antimanic Agents / Q000009:adverse effects*; D001539:Bendroflumethiazide / Q000009:adverse effects; D004232:Diuretics; D004347:Drug Interactions; D005260:Female; D006801:Humans; D007022:Hypotension / Q000139:chemically induced*; D007211:Indoles / Q000009:adverse effects; D016651:Lithium Carbonate / Q000009:adverse effects*; D008875:Middle Aged; D020913:Perindopril; D049993:Sodium Chloride Symporter Inhibitors / Q000009:adverse effects
D000806:Angiotensin-Converting Enzyme Inhibitors; D018692:Antimanic Agents; D004232:Diuretics; D007211:Indoles; D049993:Sodium Chloride Symporter Inhibitors; D016651:Lithium Carbonate; D001539:Bendroflumethiazide; D020913:Perindopril