Examples of affected drugs include lithium, pemetrexed, among others.
Information about Lithium.
Nonsteroidal anti-inflammatory drugsNSAIDsfor exampleibuprofenMotrinAdvilnaproxenNaprosynAleveindomethacinIndocinnabumetoneRelafendiclofenacVoltarenCataflamArthrotecketorolacToradolreduce the kidney’s ability to eliminate lithium and lead to elevated levels of lithium in the blood andside effects from lithiumBlood concentrations of lithium may need to be measured for 4 to 7 daysafter an NSAID is either added or stopped during lithium therapyAspirin and sulindacClinorildo not appear to affect lithium concentrations in the bloodDiureticswater pillsshould be used cautiously in patients receiving lithiumDiuretics . that act at the distal renal tubulefor examplehydrochlorothiazideHydrodiurilspironolactoneAldactonetriamtereneDyreniumDyazideMaxzidecan increase blood concentrations of lithiumDiuretics that act at the proximal tubulefor exampleacetazolamideDiamoxare more likely to reduce blood concentrations of lithiumDiuretics such as furosemideLasixand bumetanideBumexmay have no affect on lithium concentrations in bloodACE inhibitorsfor exampleenalaprilVasoteclisinoprilZestrilPrinivilbenazeprilLotensinquinaprilAccuprilmoexiprilUnivasccaptoprilCapotenramiprilAltacemay increase the risk of developing lithium toxicity by increasing the amount of lithium that is reabsorbed into the body in the tubules of the kidney and thereby reducing the excretion of lithiumWhen carbamazepineTegretoland lithium are used togethersome patients may experience side effectsincluding dizzinesslethargyand tremorCentral nervous system side effects also may occur when lithium is used with antidepressantsfor examplefluoxetineProzacsertralineZoloftand paroxetinePaxilfluvoxamineLuvoxamitriptylineElavilimipramineTofranildesipramineNorpraminCombining lithium with monoamine oxidase inhibitorMAOIclass of antidepressantsfor exampleisocarboxazidMarplanphenelzineNardiltranylcypromineParnateselegilineEldepryland procarbazineMatulaneor other drugs that inhibit monoamine oxidasefor examplelinezolidZyvoxmay lead to serious reactionsMedications which cause the urine to become alkalinethe opposite of acidiccan increase the amount of lithium that is lost into the urineThis results in lower blood concentrations of lithium and reduces the effects of lithiumSuch drugs include potassium acetatepotassium citrateUrocit-Ksodium bicarbonateand sodiumcitrateBicitraCytra-2Liqui-CitraOracitShohl’sCaffeine appears to reduce serum lithium concentrationsand side effects of lithium have increased in frequency when caffeine is consumedBoth diltiazemCardizem-CDTiazacDilacor-XRand verapamilCalan-SRIsoptin-SRVerelanCovera-HShave been reported to have variable effects on lithium levels in bloodIn some patients there may be decreased lithium blood levels and in others lithium toxicityMethyldopaAldometmay increase the likelihood of lithium toxicityVarious reactions have resulted when lithium is administered with phenothiazinesfor examplechlorpromazineThorazinethioridazineMellariltrifluoperazineStelazineor with haloperidolHaldolSuch reactions have included deliriumseizuresencephalopathyhigh fever or certain neurologic reactions that affect movement of musclescalled extrapyramidal symptomsLithium can cause goiter or hypothyroidismThe use of lithium with potassium iodide can increase the likelihood of this adverse reactionThe use of the beta blockerpropranololInderalwithlithium can lead to a slow heart rate and dizzinessOther beta blockersfor examplemetoprololLopressoratenololTenorminalso may interact with lithium and be associated with a slow heart rate.
Lithium treatment is UNSAFE in women who are breast-feedingLithium can enter breast milk and cause unwanted side effects in a nursing infant.
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