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Lithonex 400mg Tablet SR


Overview

Introduction

Lithonex 400mg Tablet SR is a prescription medicine used in the treatment of bipolar disorder and mania in adults. It is sometimes used to treat other behavioral disorders as well. It reduces the frequency of manic episodes and decreases the intensity of those episodes that might occur.

Lithonex 400mg Tablet SR should be taken with food. However, it is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Do not skip any doses and finish the full course of treatment even if you feel better. If you have missed a dose, take it as soon as you remember it. You should continue to take this medicine for as long as the doctor advises and do not stop taking it suddenly as it may result in harmful effects.

Side effects associated with the use of this medicine include tremor, slurred speech, uncoordinated body movements, nausea, acne, increased white blood cell count and memory impairment. It may also cause hair loss, enlarged thyroid gland, skin rash, and increased thirst. This medicine may also cause weight gain and to control it, you should have a balanced diet and exercise regularly. If you have been taking this medicine for a long time than regular monitoring of thyroid and kidney function may be required.

Uses of Lithonex Tablet SR

Side effects of Lithonex Tablet SR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Lithonex

  • Tremor
  • Slurred speech
  • Uncoordinated body movements
  • Nausea
  • Acne
  • Increased white blood cell count
  • Memory impairment
  • Hair loss
  • Goiter (enlarged thyroid gland)
  • Skin rash
  • Increased thirst
  • Weight gain
  • Polyuria
  • Diarrhea

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Tremor
    These symptoms can be a sign that the dose is too high for you. It may help to change your dose or take your medicine at a different time of the day. There are also exercises that can improve muscle strength, control and coordination. In terms of lifestyle, avoid caffeine (in coffee, tea and chocolate), alcohol, and ask your doctor about other techniques to help you relax and manage stress. Talk to your doctor if this bothers you. Your doctor may be able to prescribe you medicines that can help.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Acne
    Do not wash affected areas more than twice a day. Use a mild soap or cleanser and do not scrub the affected area. Avoid using too much make-up and excessive sun exposure. Try to eat a healthy balanced diet and avoid oily or spicy food. Do not try to squeeze spots and refrain from touching or picking the affected areas as it can trigger more acne, leading to infection or scarring. Regularly wash pillowcases, sheets and clothes that come in contact with acne. Talk to your doctor if your acne has not improved. They will assess your acne and suggest next steps for treatment.
  • Coping with Memory impairment
    There is a lot you can do to improve your memory. Keep active and take regular exercise to improve blood flow to your whole body, including your brain. Eat a healthy diet so your brain gets the nutrients it needs. Some foods containing omega-3 fatty acids (such as oily fish) may benefit brain health. Keep mentally active. It is important to socialize, so stay in contact with friends and family. Stay organised – keep a diary for things you have to do, keep things you need regularly (such as keys, purse and spectacles) in a set place and do not try to do too many things at once. Make sure you get good sleep, make it a priority. Drinking alcohol can lead to confusion and memory loss, so try to cut down or stop. Also, stop smoking because it reduces the amount of oxygen that gets to your brain. If you are worried about memory loss, talk to your doctor, especially if it affects your ability to live your daily life.
  • Coping with Hair loss
    Use gentle hair products such as baby shampoo. Use a soft brush and comb gently. Avoid using hairdryers, curling tongs or hair straighteners and pat your hair dry after washing. Do not color your hair. Protect your scalp by covering your head in the sun. It is necessary to not take the stress and eat a balanced, nutritious diet as it is vital for the health of your hair.
  • Coping with Skin rash
    There are many treatments for a wide range of skin problems. Avoid hot showers or baths because hot water can irritate the skin. Make sure to pat dry your skin after a bath or shower. Do not rub or scratch the affected area. Leave the skin exposed to the air as much as possible. Do not use perfumed soaps or deodorants. Water containing chlorine can make most skin problems worse, so avoid swimming. Avoid spicy foods, alcohol, tobacco smoke and caffeine as it may also make itching worse. Avoid excessive sun exposure. Always use sunscreen and protective clothing when outdoors. Moisturizers can be used regularly to soothe and hydrate the affected area. If it does not get better within a week, speak to a pharmacist or doctor.
  • Coping with Weight gain
    Try to eat a healthy balanced diet without increasing your portion sizes. Avoid processed meat or poultry and seafood. Eat small, frequent meals and eat slowly. Do not snack on foods that contain a lot of calories such as crisps, cakes, biscuits and sweets. If you feel hungry between meals, eat fruits and vegetables which have low calories. Avoid reaching for a sugary drink if you feel stressed. Fasting once a week can be an effective way to lose weight. Make sure you get enough sleep. With proper diet and lifestyle changes, you might not gain any weight or may gain only a small amount. Even then if it bothers you, ask your doctor if there are any alternative medicines that do not have this side effect.
  • Coping with Diarrhea
    Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments.

How to use Lithonex Tablet SR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Lithonex 400mg Tablet SR is to be taken with food.

How Lithonex Tablet SR works

Lithonex 400mg Tablet SR works by suppressing the abnormal and excessive activity of the nerve cells in the brain.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Lithonex 400mg Tablet SR.
Pregnancy
CONSULT YOUR DOCTOR
Lithonex 400mg Tablet SR is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Lithonex 400mg Tablet SR is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Lithonex 400mg Tablet SR may cause side effects which could affect your ability to drive.
Lithonex 400mg Tablet SR may make you feel sleepy, tired or dizzy. Lithonex 400mg Tablet SR may also cause other effects that can make it dangerous to drive such as numbness, paralysis, weakness or fits (seizures).
Kidney
CAUTION
Lithonex 400mg Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Lithonex 400mg Tablet SR may be needed. Please consult your doctor.
Use of Lithonex 400mg Tablet SR is not recommended in patients with severe kidney disease.
Liver
SAFE IF PRESCRIBED
Lithonex 400mg Tablet SR is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Lithonex 400mg Tablet SR may not be needed in these patients. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Lithonex 400mg Tablet SR
₹3.0/Tablet SR
Litholite 400mg Tablet SR
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₹2/Tablet SR
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Lithopik 400mg Tablet SR
Aarpik Pharmaceuticals Pvt Ltd
₹2.39/Tablet SR
save 20%
Tulith 400mg Tablet SR
Tuttsan Pharma Pvt Ltd
₹2.4/Tablet SR
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Lithoset 400mg Tablet SR
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Manicarb 400mg Tablet SR
Psychotropics India Ltd
₹4/Tablet SR
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Quick Tips

  • Lithonex 400mg Tablet SR is one of the most effective long-term treatment for bipolar disorder.
  • It may also be used for the treatment of mania.
  • Your lithium blood levels, thyroid function, and kidney function may be monitored as long as you take this medicine.
  • It may cause diarrhea and dehydration. Drink plenty of water and and use normal amounts of salt. Inform your doctor if you start or stop a low-salt diet.
  • Monitor your weight during treatment as Lithonex 400mg Tablet SR can cause weight gain.
  • Do not drive or do anything that requires mental focus until you know how it affects you.
  • Inform your doctor if you have persistent stomach upset, problems with your speech, or extreme drowsiness. Your dose may need to be adjusted.
  • Do not take Lithonex 400mg Tablet SR if you are pregnant or breastfeeding.
  • Do not stop taking the medication suddenly without talking to your doctor.

Interaction with Drugs

Taking Lithonex with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Art-X, Cardasol, Amione
LIFE-THREATENING
Brand(s): SIB Trim, Deobese, Sibunet
LIFE-THREATENING
Brand(s): Acetazide, Actazid, AZ Mide
SERIOUS
Brand(s): Stozen
SERIOUS

Patient Concerns

arrow
I an suffering from mania what should i do.
Dr. Jyoti Kapoor Madan
Psychiatry
Mania is a component of Bipolar Affective Disorder. Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.
Suffering from Depression and Mania, what should be done
Dr. Jyoti Kapoor Madan
Psychiatry
Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.
arrow
Do you have any questions related to Lithonex 400mg Tablet SR ?

User Feedback


FAQs

Q. How quickly does Lithonex work?

It takes some time before you see improvement in your symptoms after taking Lithonex. Though it varies from person to person, it may take 1-3 weeks or longer for you to see the full benefits of Lithonex. Do not stop taking Lithonex if you feel you are not improving. Instead, discuss it with your doctor.

Q. Does Lithonex make you sleepy?

Yes, Lithonex can cause nervous system disorders like sleepiness and dizziness and feeling confused. It can also cause rapid eye movements, blurred vision, or blind spots in your eyesight. If you experience any of these symptoms, consult your doctor. In addition, avoid driving or operating heavy machinery as it can be hazardous for you.

Q. Is Lithonex bad for kidneys?

Yes, Lithonex may cause kidney problems. Lithonex is not prescribed in patients who already have severe kidney impairment. The kidney problems may not be reversible and the symptoms include swollen ankles, passing a lot of urine and feeling thirsty. Before starting treatment with Lithonex, your doctor will get blood tests done to see if your kidney function is normal. During Lithonex therapy, any gradual or sudden changes in renal function, even within the normal range, may indicate the need for re-evaluation of treatment.

Q. Can Lithonex cause gain in weight?

Lithonex can cause both weight gain or weight loss. You should keep a check on your weight during Lithonex therapy. If you feel you are gaining or losing too much weight, consult your doctor who will assess whether the change in weight is due to Lithonex or some other reason.

Q. What is the most important information I should know about Lithonex?

Lithonex therapy should only be started if adequate facilities for assessing Lithonex levels are available. This is because Lithonex toxicity is related to increased levels of Lithonex in blood. Lithonex toxicity can even occur at dose which is effective for treatment. Therefore, your doctor may closely monitor your Lithonex levels weekly until stabilization is achieved, then weekly for one month and then at monthly intervals thereafter.

Q. How should Lithonex be taken?

Take Lithonex exactly as prescribed by your doctor. Check with your doctor if you are not sure. It is meant for oral administration and can be taken with or without food. However, if you start following a certain type of diet, talk to your doctor first. Any drastic changes in the amount of water you drink or amount of sodium (salt) in your diet may require more frequent monitoring of Lithonex levels.

Q. Which medicines decrease Lithonex levels?

You should inform your doctor about the medicines you are taking before starting Lithonex since many medicines interfere with the working of Lithonex. Some medicines decrease the levels of Lithonex in blood which means that it will not work well. These include theophylline (for asthma), caffeine, anything containing sodium bicarbonate, or a special group of diuretics (water tablets) called carbonic anhydrase inhibitors and urea used to treat skin conditions.

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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Stahl SM, editor. Lithium. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 349-54.
  2. Meltzer H. Antipsychotic Agents & Lithium. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 502-504.
  3. Drugs.com. Lithium Pregnancy and Breastfeeding Warnings. [Accessed 25 Mar. 2019] (online) Available from:External Link
  4. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Lithium. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Theo Pharma Pvt Ltd, 401, Sachet-3, Mirambica School Road, Naranpura, Naranpura
A licensed vendor partner from your nearest location will deliver Lithonex 400mg Tablet SR. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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