B BobA Member 15+ Year Member Jul 6, 2011 #1 Advertisement - Members don't see this ad Anybody have any tips on helping patients manage lithium induced polyuria?
Advertisement - Members don't see this ad Anybody have any tips on helping patients manage lithium induced polyuria?
billypilgrim37 Unstuck in Time Verified Member 10+ Year Member Physician Faculty 15+ Year Member Jul 6, 2011 #2 BobA said: Anybody have any tips on helping patients manage lithium induced polyuria? Click to expand... QHS dosing can help some, if you're still treating BID or TID.
BobA said: Anybody have any tips on helping patients manage lithium induced polyuria? Click to expand... QHS dosing can help some, if you're still treating BID or TID.
nitemagi Senior Member Verified Member Physician Faculty 15+ Year Member 20+ Year Member Jul 6, 2011 #3 1. Make sure it's not DI, and if it is monitor lytes closely. 2. There's a little data on amiloride-- http://www.ncbi.nlm.nih.gov/pubmed/19367330 http://www.ncbi.nlm.nih.gov/pubmed/18596116 http://www.ncbi.nlm.nih.gov/pubmed/12680486 NSAID's (esp cox-2 inhibs) apparently could have a role too, but my understanding of that interaction is a lot fuzzier, and seems to have risks as well.
1. Make sure it's not DI, and if it is monitor lytes closely. 2. There's a little data on amiloride-- http://www.ncbi.nlm.nih.gov/pubmed/19367330 http://www.ncbi.nlm.nih.gov/pubmed/18596116 http://www.ncbi.nlm.nih.gov/pubmed/12680486 NSAID's (esp cox-2 inhibs) apparently could have a role too, but my understanding of that interaction is a lot fuzzier, and seems to have risks as well.