Lithium overdose

Home treatment:

Standard procedure is to induce emesis (vomiting) unless the patient is unconscious or experiencing convulsions. Before inducing emesis, contact Poison Control for verification.

If instructed to induce emesis, standard procedure is as follows:

Give the usual dose of ipecac syrup: 15 milliliters or 1 TABLEspoonful for children and 30 ml (2 TABLEspoonsful) for adults. Follow with 1/2 glassful or 4 ounces (oz.). of water for children or 8 to 12 oz. of water for adults. Repeat one more time in 1/2 hour if emesis has not occurred.

Before calling emergency:

Determine the following:

• the patient's age, weight, and condition
• the name of the product (ingredients and strengths if known)
• the time it was swallowed
• the amount swallowed
• it the medication was prescribed for the patient

Poison Control, or a local emergency number:

They will instruct you if it is necessary to take the patient to the hospital. See Poison Control centers for telephone numbers and addresses. Take the container with you to the emergency room.

What to expect at the emergency room:

Some or all of the following procedures may be performed:

• Induce emesis.
• Use dialysis.
• Monitor lithium blood levels.
• Treat the symptoms.

Expectations (prognosis):

Death can occur from lithium toxicity, but survival also depends on other factors, including the patient's blood levels of lithium and amount of sodium intake.