Lithium Associated Side Effects and Neurotoxicity: Is Lithium Neurotoxicity Related to Iron Deposition?

Lithium is a mood stabilizer that Australian psychiatrist John Cade and the Swiss Baastrup and Schou’s pioneering studies brought in the treatment of bipolar disorder. In current guidelines, it is still consid-ered as first line therapy for acute mania, depression and remission periods. Along with n...

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Bibliographic Details
Published in:Psikiyatride güncel yaklaşimlar 2019-04, Vol.11 (2), p.141-153
Main Authors: Keleş Altun, İlkay, Kılıç, Neslihan, Yıldızoğlu, Emrah, Atagün, Murat İlhan
Format: Article
Language:English
Subjects:
Antidepressants
Bipolar disorder
Clinical psychology
Drinking water
Felsefe & Psikoloji & Sosyoloji
Kinases
Lithium
Neuropsychology
Neurotoxicity
Psychiatry
Serotonin
Side effects
Tıp
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Summary:Lithium is a mood stabilizer that Australian psychiatrist John Cade and the Swiss Baastrup and Schou’s pioneering studies brought in the treatment of bipolar disorder. In current guidelines, it is still consid-ered as first line therapy for acute mania, depression and remission periods. Along with numerous neurotrophic and cytoprotective effects, lithium may rarely cause neurotoxicity. Neuro-toxicity might be related with dose dependent or independent. Mechanism of neurotoxicity has not been identified yet. A possible reason of lithium neurotoxicity is that lithium complicates iron efflux from neurons by inhibiting the tau cascade. Accumulation of iron may increase hydroxyl radical formation, resulting in oxidative neurotoxicity. On the other hand, mechanisms that may alleviate iron deposition should also be considered. This review will address the cardiac and met-abolic side effects of lithium and clinical features and biochemical regimes of neurotoxicity, and its relationship with iron accumulation.
ISSN:1309-0658
1309-0674
DOI:10.18863/pgy.384067