Aminophylline
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Theophylline decreases serum levels of lithium
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Azilsartan medoxomil
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Azilsartan medoxomil may increase lithium serum concentrations.
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Benazepril
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The ACE inhibitor increases serum levels of lithium
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Bendroflumethiazide
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The thiazide diuretic, bendroflumethiazide, may increase serum levels of lithium.
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Benzthiazide
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The thiazide diuretic, benzthiazide, may increase serum levels of lithium.
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Caffeine
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Caffeine decreases serum levels of lithium
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Candesartan
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The ARB increases serum levels of lithium
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Captopril
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The ACE inhibitor increases serum levels of lithium
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Celecoxib
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The COX-2 inhibitor increases serum levels of lithium
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Chlorothiazide
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The thiazide diuretic, chlorothiazide, may increase serum levels of lithium.
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Chlorthalidone
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The thiazide diuretic, chlorthalidone, may increase serum levels of lithium.
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Cilazapril
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The ACE inhibitor increases serum levels of lithium
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Citric Acid
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The urine alkalizer decreases the effect of lithium
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Cyclothiazide
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The thiazide diuretic, cyclothiazide, may increase serum levels of lithium.
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Desvenlafaxine
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Increased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.
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Diclofenac
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The NSAID, diclofenac, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Diflunisal
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The NSAID, diflunisal, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Dyphylline
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Theophylline decreases serum levels of lithium
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Enalapril
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The ACE inhibitor increases serum levels of lithium
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Eplerenone
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Eplerenone increases serum levels of lithium
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Eprosartan
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The ARB increases serum levels of lithium
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Etoricoxib
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Etoricoxib increases serum levels of lithium
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Fluoxetine
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The SSRI, fluoxetine, increases serum levels of lithium.
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Fluvoxamine
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The SSRI, fluvoxamine, increases serum levels of lithium.
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Forasartan
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The ARB increases serum levels of lithium
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Fosinopril
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The ACE inhibitor increases serum levels of lithium
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Haloperidol
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Possible extrapyramidal effects and neurotoxicity with this combination
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Hydrochlorothiazide
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The thiazide diuretic, hydrochlorothiazide, may increase serum levels of lithium.
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Hydroflumethiazide
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The thiazide diuretic, hydroflumethiazide, may increase serum levels of lithium.
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Ibuprofen
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The NSAID, ibuprofen, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Indapamide
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The thiazide diuretic, indapamide, may increase serum levels of lithium.
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Indomethacin
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The NSAID, indomethacin, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Iodine
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Possible hypothyroidism with this combination
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Irbesartan
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The ARB increases serum levels of lithium
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Ketoprofen
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The NSAID, ketoprofen, may increase the serum concentration of lithium by decreasing its renal clearance. Consider a dose reduction in lithium upon initiation of ketoprofen therapy. Monitor for changes in the therapeutic and adverse effects of lithium if ketoprofen is initiated, discontinued or does changed.
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Ketorolac
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The NSAID, ketorolac, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Lisinopril
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The ACE inhibitor increases serum levels of lithium
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Losartan
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Losartan increases serum levels of lithium
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Lumiracoxib
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The COX-2 inhibitor increases serum levels of lithium
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Mefenamic acid
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The NSAID, mefenamic acid, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Meloxicam
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Meloxicam increases serum levels of lithium
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Methyclothiazide
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The thiazide diuretic, methyclothiazide, may increase serum levels of lithium.
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Methyldopa
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Methyldopa may increase the adverse effects of lithium without affecting lithium serum levels. Monitor for signs and symptoms of lithium toxicity during concomitant therapy.
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Metolazone
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The thiazide diuretic, metolazone, may increase serum levels of lithium.
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Metronidazole
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Metronidazole increases the effect and toxicity of lithium
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Moexipril
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The ACE inhibitor increases serum levels of lithium
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Naproxen
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The NSAID, naproxen, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Oxtriphylline
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Theophylline decreases serum levels of lithium
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Perindopril
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The ACE inhibitor increases serum levels of lithium
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Phenylbutazone
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The NSAID, phenylbutazone, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Piroxicam
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The NSAID, piroxicam, may decrease the renal excretion of lithium. Increased risk of lithium toxicity.
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Polythiazide
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The thiazide diuretic, polythiazide, may increase serum levels of lithium.
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Potassium
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The urine alkalizer decreases the effect of lithium
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Quinapril
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The ACE inhibitor increases serum levels of lithium
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Quinethazone
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The thiazide diuretic, quinethazone, may increase serum levels of lithium.
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Ramipril
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The ACE inhibitor increases serum levels of lithium
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Rofecoxib
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The COX-2 inhibitor increases serum levels of lithium
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Saprisartan
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The ARB increases serum levels of lithium
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Sibutramine
|
Possible serotoninergic syndrome with this combination
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Sodium bicarbonate
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The urine alkalizer decreases the effect of lithium
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Spirapril
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The ACE inhibitor increases serum levels of lithium
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Sumatriptan
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Possible serotoninergic syndrome with this combination
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Tasosartan
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The ARB increases serum levels of lithium
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Telmisartan
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Telmisartan may increase serum Lithium concentrations. Monitor serum Lithium levels during concomitant therapy to avoid Lithium toxicity.
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Tenoxicam
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Tenoxicam may increase the serum concentration of Lithium. A dose adjustment of Lithium may be required. Monitor for changes in Lithium therapeutic and adverse effects if Tenoxicam is initiated, discontinued or dose changed.
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Tetrabenazine
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Inhibit biochemical and behavioural effects of tetrabenazine. Heed caution when using agents in combination.
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Theophylline
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Theophylline decreases serum levels of lithium
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Tiaprofenic acid
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Tiaprofenic acid may increase the therapeutic/adverse effects of Lithium by increasing Lithium serum concentrations. Monitor for changes in the therapeutic/adverse effects of Lithium if Tiaprofenic acid is initiated, discontinued or dose changed.
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Tobramycin
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Increased risk of nephrotoxicity
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Tolmetin
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Tolmetin may increase the risk of Lithium toxicity by decreasing the renal elminiation of Lithium. A dose adjustment of Lithium may be required. Monitor for changes in Lithium therapeutic and adverse effects if Tolmetin is initiated, discontinued or dose changed.
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Topiramate
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Topiramate could modify lithium levels
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Trandolapril
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Trandolapril may increase the serum concentration of Lithium increasing the risk of Lithium toxicity. Monitor for changes in Lithium serum concentrations, toxicity and efficacy if Trandolapril is initiated, discontinued or dose changed.
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Tranylcypromine
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Increased risk of serotonin syndrome. Use caution during concomitant therapy and monitor for symptoms of serotonin syndrome.
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Trazodone
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Increased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.
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Trichlormethiazide
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Trichlormethiazide may increase the serum concentration of Lithium by decreasing Lithium excretion. Monitor for changes in the therapeutic/adverse effects of Lithium if Trichlorthiazide is initiated, discontinued or dose changed.
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Trimipramine
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Increased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.
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Valdecoxib
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The COX-2 inhibitor increases serum levels of lithium
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Valsartan
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Valsartan may increase serum lithium concentrations. Monitor serum lithium levels during concomitant therapy to avoid lithium toxicity.
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Venlafaxine
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Increased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.
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Verapamil
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Signs of lithium toxicity
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Zolmitriptan
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Use of two serotonin modulators, such as zolmitriptan and lithium, increases the risk of serotonin syndrome. Consider alternate therapy or monitor for serotonin syndrome during concomitant therapy.
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