Lithium treatment: a comparison of once-and twice-daily dosing

Autor: J. Waldron, J. S. Lawson, G. Abraham, James A. Owen, Nicholas J. Delva
Rok vydání: 1992
Předmět:
Zdroj: Acta Psychiatrica Scandinavica. 85:65-69
ISSN: 1600-0447
0001-690X
DOI: 10.1111/j.1600-0447.1992.tb01444.x
Popis: The effects of once- and twice-daily dosing with lithium carbonate were compared in a non-blind, cross-over study on 20 consecutive patients with mood disorders. Mental status, side effects and target organ function were examined after a minimum of a 1-month treatment with each regimen. Eighteen patients completed the study and 2 withdrew because of side effects. There were no significant differences between the 2 groups on the Hamilton Rating Scale for Depression, the Bech-Rafaelsen Mania Scale, the UKU Side Effects Scale or in serum lithium, electrocardiogram and urine volumes. Most blood tests showed no significant difference between the 2 treatment schedules except for white blood cells, ionized calcium and phosphate concentration. The once-daily regimen was associated with a higher white cell count, increased serum phosphate and elevated serum ionized calcium. We conclude that patients are able to tolerate once-daily dosing with lithium carbonate as well as twice-daily dosing.
Databáze: OpenAIRE