Abstract
The question of toxic interactions resulting from combinations of lithium and neuroleptic drugs is largely based on anecdotal reports. We replicated the methods of Miller and Menninger (1987) who reported that 27% of manic patients on treatment with lithium and neuroleptics developed toxicity. We found no cases of neurotoxicity as defined in the earlier report. Pharmacologic mechanisms and differences in the clinical findings of the two studies are discussed.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baastrup P. C., Hollnagel P., Sorensen R., Schou M. Adverse reactions in treatment with lithium carbonate and haloperidol. JAMA. 1976 Dec 6;236(23):2645–2646. [PubMed] [Google Scholar]
- Cohen W. J., Cohen N. H. Lithium carbonate, haloperidol, and irreversible brain damage. JAMA. 1974 Dec 2;230(9):1283–1287. [PubMed] [Google Scholar]
- Davis J. M. Dose equivalence of the antipsychotic drugs. J Psychiatr Res. 1974;11:65–69. doi: 10.1016/0022-3956(74)90071-5. [DOI] [PubMed] [Google Scholar]
- Frazer A., Mendels J., Secunda S. K., Cochrane C. M., Bianchi C. P. The prediction of brain lithium concentrations from plasma or erythrocyte measures. J Psychiatr Res. 1973 Jun;10(1):1–7. doi: 10.1016/0022-3956(73)90004-6. [DOI] [PubMed] [Google Scholar]
- Friedman E., Gershon S. Effect of lithium on brain dopamine. Nature. 1973 Jun 29;243(5409):520–521. doi: 10.1038/243520a0. [DOI] [PubMed] [Google Scholar]
- Growe G. A., Crayton J. W., Klass D. B., Evans H., Strizich M. Lithium in chronic schizophrenia. Am J Psychiatry. 1979 Apr;136(4A):454–455. [PubMed] [Google Scholar]
- Miller F., Menninger J. Lithium-neuroleptic neurotoxicity is dose dependent. J Clin Psychopharmacol. 1987 Apr;7(2):89–91. [PubMed] [Google Scholar]
- Pandey G. N., Goel I., Davis J. M. Effect of neuroleptic drugs on lithium uptake by the human erythrocyte. Clin Pharmacol Ther. 1979 Jul;26(1):96–102. doi: 10.1002/cpt197926196. [DOI] [PubMed] [Google Scholar]
- Spring G. K. Neurotoxicity with combined use of lithium and thioridazine. J Clin Psychiatry. 1979 Mar;40(3):135–138. [PubMed] [Google Scholar]
