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Written By Veda Maddala , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
Last Updated Nov 23, 2024 | 4:29 PM IST
Lithoril 400mg Tablet SR belongs to the class of antipsychotic medicine used in the treatment of bipolar disorder and mania. This medicine suppresses the excess and abnormal activity of nerve cells in the brain by increasing the activity of chemical messengers in the brain. Common side effects include loss of appetite, dizziness, dry mouth, taste change, diarrhoea, blurred vision, slurred speech, shaky movements, increased thirst, and urination.
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Prescription drug

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Prescription drug
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Manufacturer/Marketer

Reliance Formulation Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Lithoril 400mg Tablet SR

Lithoril 400mg Tablet SR belongs to a psychological class of drugs called 'anti-manic agents' or 'mood stabilizers' primarily used to prevent and treat mood disorders like mania and bipolar disorder. Mania is a mental condition that causes intense excitement, high energy, and delusions (misbeliefs). Bipolar disorder is a mental condition associated with extreme mood swings ranging from the hyper stage of mania to low mood depression.

Lithoril 400mg Tablet SR contains Lithium carbonate that helps to treat mental disorders by increasing the activity of chemical messengers in the brain; thereby, suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person’s mood.

Take Lithoril 400mg Tablet SR as prescribed. Your doctor will advise you on how often you need to take Lithoril 400mg Tablet SR based on your medical condition. Some people may experience loss of appetite, dizziness, dry mouth, taste change, diarrhoea, blurred vision, slurred speech, shaky movements, increased thirst, and urination. Most of these side effects of Lithoril 400mg Tablet SR do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are known to be allergic to Lithoril 400mg Tablet SR or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to consult a doctor before using Lithoril 400mg Tablet SR. Regular blood tests are recommended while taking Lithoril 400mg Tablet SR to monitor the levels of lithium in blood. If you have fits, kidney or heart problems, thyroid, persistent headache, vision problems, and if you are planning or had weight loss surgery, please inform your doctor before taking Lithoril 400mg Tablet SR.

Uses of Lithoril 400mg Tablet SR

Treatment of Bipolar disorder and Mania

Medicinal Benefits

Lithoril 400mg Tablet SR is a mood stabilizer that is used to prevent and treat mood disorders such as mania and bipolar disorder. Lithoril 400mg Tablet SR contains Lithium carbonate that helps to treat mental disorders by increasing the activity of chemical messengers in the brain; thereby, suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person’s mood. Thus, Lithoril 400mg Tablet SR relaxes nerves and calms the mood, which helps in having a better social life and enables to do daily activities comfortably.

Directions for Use

Take Lithoril 400mg Tablet SR with food for better absorption or take it as advised by the doctor. Swallow it as a whole with a glass of water. Do not crush, chew or break it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Lithoril 400mg Tablet SR

  • Loss of appetite
  • Dizziness
  • Dry mouth
  • Taste change
  • Diarrhoea
  • Blurred vision
  • Slurred speech
  • Shaky movements
  • Increased thirst and urination

Drug Warnings

Regular blood tests are recommended while taking Lithoril 400mg Tablet SR to check lithium levels in the blood. If you are pregnant or breastfeeding, please inform your doctor before taking Lithoril 400mg Tablet SR. If you have hypothyroidism (underactive thyroid gland), please inform your doctor before taking Lithoril 400mg Tablet SR as it may cause low thyroid levels. If you notice decreased amount of urine, dark, reddish urine, muscle pain or weakness, inform your doctor immediately as it may be due to a serious condition called rhabdomyolysis (muscle tissue breakdown) which may lead to kidney problems.

Drug Interactions

Drug-Drug Interaction: Lithoril 400mg Tablet SR may have interaction with high blood pressure-lowering medicines (ramipril, lisinopril, methyldopa, amlodipine, diltiazem), pain killers (ibuprofen, diclofenac, celecoxib, indomethacin), asthma drugs (theophylline), antipsychotics (olanzapine, haloperidol, clozapine, sertindole), fits related drugs (phenytoin, clonazepam, carbamazepine), heart-related medicines (quinidine, amiodarone, propafenone, ranolazine, procainamide, disopyramide, hydroquinidine, ibutilide, sotalol, dofetilide), antidepressants (paroxetine, amitriptyline, fluoxetine), antibiotics (trimethoprim, spectinomycin, metronidazole, tetracycline).

Drug-Food Interaction: Lithoril 400mg Tablet SR may interact with caffeine. Therefore, reduce the intake of caffeine including coffee, tea, or herbal medicines as it may decrease the effect of Lithoril 400mg Tablet SR. Also, avoid alcohol intake as it may increase side effects such as drowsiness, dizziness, or difficulty in concentrating. Intake of sodium may also alter lithium levels. Hence, maintain a constant dietary intake of salt.

Drug-Disease Interaction: If you have fits, kidney or heart problems, thyroid, persistent headache, vision problems, Brugada syndrome (a hereditary syndrome affecting the heart), hypothyroidism (low thyroid levels), and low sodium levels, inform your doctor before taking Lithoril 400mg Tablet SR.

Drug-Drug Interactions Checker List

  • RAMIPRIL
  • LISINOPRIL
  • METHYLDOPA
  • AMLODIPINE
  • DILTIAZEM
  • IBUPROFEN
  • DICLOFENAC
  • CELECOXIB
  • INDOMETHACIN
  • THEOPHYLLINE
  • OLANZAPINE
  • HALOPERIDOL
  • CLOZAPINE
  • SERTINDOLE
  • PHENYTOIN
  • CLONAZEPAM
  • CARBAMAZEPINE
  • QUINIDINE
  • AMIODARONE
  • PROPAFENONE
  • RANOLAZINE
  • PROCAINAMIDE
  • DISOPYRAMIDE
  • HYDROQUINIDINE
  • IBUTILIDE
  • SOTALOL
  • DOFETILIDE
  • PAROXETINE
  • AMITRIPTYLINE
  • FLUOXETINE
  • TRIMETHOPRIM
  • SPECTINOMYCIN
  • METRONIDAZOLE
  • TETRACYCLINE

Habit Forming

No

Diet & Lifestyle Advise

  • Maintain a constant sodium diet as it may affect lithium levels in the blood and cause adverse effects.
  • Limit the intake of caffeine as it may reduce the effectiveness of Lithoril 400mg Tablet SR.
  • Do regular exercise and maintain a stable weight as Lithoril 400mg Tablet SR may cause weight gain.
  • Drink plenty of water to avoid dehydration and try to drink the same amount of water every day as any major changes in quantity may affect lithium levels.
  • Avoid consumption of alcohol as it may increase drowsiness.

Special Advise

  • Regular blood tests are advised every week while taking Lithoril 400mg Tablet SR to monitor the levels of lithium in blood. When lithium levels are constant, blood tests may be done every 3 months.
  • Drink a constant amount of water daily and maintain a constant sodium intake as any major changes in these two may alter the levels of lithium in blood.

Disease/Condition Glossary

Mania: It is a mental condition that causes intense excitement, high energy, and delusions (misbeliefs). Mania may occur due to lack of sleep or changes in sleep pattern, high levels of stress, and alcohol intake. Seek medical help immediately if you have any self-harming or suicidal thoughts.

Bipolar disorder: It is also called manic depression, a mental condition associated with extreme mood swings ranging from manic highs to depressive lows. The symptoms of bipolar disorder include mania (high energy and excitability) and depression (loss of interest, hopelessness, and low energy). Bipolar disorder involves lifelong treatment.

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Alcohol

Unsafe

You are recommended to avoid consumption of alcohol with Lithoril 400mg Tablet SR as it may increase the risk of side effects such as drowsiness, dizziness or difficulty in concentrating.

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Pregnancy

Unsafe

Lithoril 400mg Tablet SR is a Category D pregnancy drug and is not recommended for use during pregnancy as it may cause harm to the unborn baby.

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Breast Feeding

Unsafe

Avoid breastfeeding while taking Lithoril 400mg Tablet SR as it may be excreted in breast milk and cause adverse effects in the baby.

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Driving

Unsafe

Lithoril 400mg Tablet SR may cause dizziness, drowsiness or other severe adverse effects. Therefore, avoid driving if you feel drowsy or dizzy after taking Lithoril 400mg Tablet SR.

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Liver

Safe if prescribed

Lithoril 400mg Tablet SR is safe to use in patients with liver diseases/conditions if prescribed by a doctor.

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Kidney

Caution

Take Lithoril 400mg Tablet SR with caution, especially if you have a history of kidney diseases/conditions. The dose may be adjusted by your doctor as required. Lithoril 400mg Tablet SR is not recommended for patients with severe kidney problems.

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Children

Caution

Lithoril 400mg Tablet SR is generally not recommended for children below 12 years. However, Lithoril 400mg Tablet SR may be used in children above 7 years for treating bipolar disorder only if prescribed by a doctor.

Country of origin

India
Other Info - LI49497

Author Details

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FAQs

Lithoril 400mg Tablet SR belongs to a psychological class of drugs called 'anti-manic agents' or 'mood stabilizers' primarily used to prevent and treat mood disorders like mania and bipolar disorder.
Lithoril 400mg Tablet SR helps to treat mental disorders by increasing the activity of chemical messengers in the brain; thereby, suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person’s mood.
Lithoril 400mg Tablet SR is not recommended for hypothyroid (underactive thyroid gland) patients as it may increase the risk of low levels of thyroid hormone. Therefore, if you have hypothyroidism, please inform your doctor before taking Lithoril 400mg Tablet SR.
Lithoril 400mg Tablet SR may cause weight gain but it is not necessary for everyone taking Lithoril 400mg Tablet SR to experience this side effect. However, in order to avoid gaining weight while taking Lithoril 400mg Tablet SR, you are advised to do regular exercise and avoid high-calorie drinks. Instead take non-alcoholic drinks, herbal tea and lemon water.
It is advised to inform your doctor if you are planning or had weight loss surgery as the dose may be adjusted accordingly based on lithium levels in blood.
Lithoril 400mg Tablet SR may cause dehydration especially if you have low sodium levels in the body or consume too much alcohol. However, if you notice dark, strong-smelling urine or a decrease in urination, it indicates that you are dehydrated, and this may affect lithium levels in the blood. Therefore, you are recommended to drink plenty of fluids while taking Lithoril 400mg Tablet SR to avoid dehydration.
You are not recommended to stop taking Lithoril 400mg Tablet SR without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Lithoril 400mg Tablet SR for as long as your doctor has prescribed it and if you experience any difficulty while taking Lithoril 400mg Tablet SR, please consult your doctor so that the dose may be gradually reduced.
You are not recommended to take Lithoril 400mg Tablet SR with fluoxetine or other antidepressants such as paroxetine and sertraline as co-administration of these medicines may increase the risk of a rare and serious condition known as serotonin syndrome. If you experience blurred vision, increased heart rate, hallucination, fits, confusion, muscle stiffness or spasm, vomiting, nausea, diarrhoea, excessive sweating, stomach cramps, fever, shaking, or shivering, please consult a doctor immediately. However, before using Lithoril 400mg Tablet SR with any other medicines, you are advised to contact your doctor.
The effects of Lithoril 400mg Tablet SR can vary from person to person, but it generally takes 1-3 weeks for you to see the full benefits. However, it's important to continue taking the Lithoril 400mg Tablet SR regularly as prescribed by your doctor to maintain its effectiveness.
It's important to inform your doctor about your hypertension and the medications you're taking for it as Lithoril 400mg Tablet SR can interact with certain blood pressure medications, and your doctor may need to adjust your treatment plan to ensure your safety.
No, you should not increase the dose of Lithoril 400mg Tablet SR on your own. It can take 1-3 weeks to feel the full effects, and increasing the dose without medical advice can be dangerous and may lead to adverse effects. However consult your doctor if you have any concerns.
Yes, Lithoril 400mg Tablet SR can cause sleepiness as a side effect. It's important to be cautious when performing activities that require alertness, such as driving or operating heavy machinery, until you know how the medication affects you.
Yes, Lithoril 400mg Tablet SR can affect the kidneys. Long-term use of lithium can lead to kidney problems, and regular monitoring of kidney function is necessary during treatment. It's important to inform your doctor if you have any pre-existing kidney conditions or if you experience any symptoms of kidney problems while taking Lithoril 400mg Tablet SR.
Lithoril 400mg Tablet SR should only be started if adequate facilities for assessing Lithoril 400mg Tablet SR levels are available. Because elevated levels of Lithoril 400mg Tablet SR are linked to Lithoril 400mg Tablet SR toxicity. Lithoril 400mg Tablet SR toxicity can even occur at dose which is effective for treatment. Therefore, your doctor may closely monitor your Lithoril 400mg Tablet SR levels weekly until stabilization is achieved, then weekly for one month and then at monthly intervals thereafter.
Lithoril 400mg Tablet SR should be taken as prescribed by your doctor. It is recommended to take with food to reduce nausea. Lithoril 400mg Tablet SR may be taken before or after meals. Swallow it as a whole with a glass of water. Do not crush, chew or break it.
Certain medications which decrease the levels of Lithoril 400mg Tablet SR in blood include carbonic anhydrase inhibitors, chlorpromazine, sodium-containing preparations, theophylline, urea and herbal medicines. Therefore, before starting Lithoril 400mg Tablet SR, inform your doctor about all the medicines you are taking.
The common side effects of Lithoril 400mg Tablet SR are loss of appetite, dizziness, dry mouth, taste change, diarrhoea, blurred vision, slurred speech, shaky movements, increased thirst, and urination. If any of these side effects persist or worsen, please consult your doctor.

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