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Symptoms: Sluggishness, drowsiness, lethargy, coarse hand tremor or muscle twitchings, loss of appetite, vomiting and diarrhea. Others signs and symptoms of lithium intoxication have been described under adverse effects.
Treatment: Discontinue lithium therapy. Support respiratory and cardiovascular functions. Depending on mental status, use ipecac syrup or gastric lavage. Follow with activated charcoal and saline cathartic if multiple ingestion is suspected (charcoal does not absorb lithium effectively). Restore fluid and electrolyte balance. Phenytoin may be needed for seizures.
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