title: Lithium in chronic renal failure: a case report.
abstract: A 73-year-old woman with bipolar disorder was stable on lithium. After long-term use of lithium, she developed chronic renal failure. We stopped her lithium and tried alternatives but this was not successful and resulted in poor quality of life for the patient including long hospital admissions. We respected patient's wish and capacity to make decision and retried lithium. This case report gives key points in managing such cases.
authors.affiliation: Lymebrook Mental Health Centre, North Staffordshire Combined Health Care NHS Trust, Staffordshire ST5 7TL, UK. ravindrab.belgamwar@northstaffs.nhs.uk
authors.forename: Ravindra B
authors.initials: RB
authors.lastname: Belgamwar
authors.forename: Fami
authors.initials: F
authors.lastname: Ebrahim
authors.forename: Catherine
authors.initials: C
authors.lastname: Campbell
mesh_terms: D000368:Aged; D014150:Antipsychotic Agents / Q000009:adverse effects*; D001714:Bipolar Disorder / Q000188:drug therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000139:chemically induced*; D018020:Lithium Compounds / Q000009:adverse effects*; D006113:United Kingdom
chemical_list: D014150:Antipsychotic Agents; D018020:Lithium Compounds