Lithium Level

Therapeutic Drug Monitoring

Normal Reference Ranges

Adult

Therapeutic: 0.6 - 1.2 mEq/L

Pediatric

N/A mEq/L

Clinical Significance

Narrow therapeutic index drug used for Bipolar Disorder. Toxicity causes tremor, ataxia, confusion, and eventually seizures.

Causes of High

  • Lithium toxicity (dehydration, NSAIDs, thiazides, ACE inhibitors)

Causes of Low

  • Non-compliance
  • Subtherapeutic dosing