A 36-year-old lady presents to the emergency department with a tremor, diarrhoea, vomiting and confusion. | Medibuddy
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4th March 2024

A 36-year-old lady presents to the emergency department with a tremor, diarrhoea, vomiting and confusion.

A 36-year-old lady presents to the emergency department with a tremor, diarrhoea, vomiting and confusion. She has a past medical history of bipolar disorder, chronic headaches, eczema and hayfever. Her bloods show that she has lithium toxicity. Her current medications are as follows:

DATE DRUG NAME DOSE ROUTE FREQUENCY SIGNED
24/05/2023 LISINOPRIL 20mg ORAL ONCE DAILY DR
24/05/2023 NAPROXEN 500mg ORAL  ONCE DAILY DR
24/05/2023 LANSOPRAZOLE 30mg ORAL  ONCE DAILY DR
24/05/2023 LITHIUM 400mg ORAL ONCE DAILY DR
24/05/2023 HYDROMOL ON AFFECTED AREAS TOPICAL PRN DR
24/05/2023 PARACETAMOL 1g ORAL PRN DR

Select the 2 drugs that are likely to have caused the lithium toxicity.

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