Hypothyroidism (lithium-induced)
- Continue lithium if otherwise effective
- Treat overt hypothyroidism with levothyroxine
- Recheck TSH after dose changes
- Subclinical disease treatment depends on TSH/symptoms
- Lithium discontinuation is usually unnecessary
- Monitor thyroid function periodically
Use at a glance
- Continue lithium if otherwise effective
Practical pearls
- Lithium discontinuation is usually unnecessary
Choosing treatment
- Treat overt hypothyroidism with levothyroxine
- Subclinical disease treatment depends on TSH/symptoms
Monitoring / follow-up
- Recheck TSH after dose changes
- Monitor thyroid function periodically
Self-check
- Must effective lithium usually be stopped for hypothyroidism?
No—discontinuation is usually unnecessary. - What is monitored in lithium-induced hypothyroidism?
Thyroid function periodically.
Drugs used for this (1)
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