title: Lithium toxicity.
abstract: 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.
authors.affiliation: Royal Devon and Exeter Hospital.
authors.forename: A J
authors.initials: AJ
authors.lastname: Vipond
authors.forename: S
authors.initials: S
authors.lastname: Bakewell
authors.forename: R
authors.initials: R
authors.lastname: Telford
authors.forename: A J
authors.initials: AJ
authors.lastname: Nicholls
mesh_terms: 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
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D018692:Antimanic Agents; D004232:Diuretics; D007211:Indoles; D049993:Sodium Chloride Symporter Inhibitors; D016651:Lithium Carbonate; D001539:Bendroflumethiazide; D020913:Perindopril