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Cited by 168

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Lithium: Still a Major Option in the Management of Bipolar Disorder

Open access
Licht, Rasmus W.·2012·CNS Neuroscience & Therapeutics

Abstract

SUMMARY: Still after more than 50 years, lithium is a major treatment of bipolar disorder, even though it has not been promoted by the pharmaceutical industry over the last decades. In recent years the evidence base on lithium for bipolar disorder has substantially increased due to results from a number of trials. Therefore, a review of this evidence is timely. The efficacy of lithium as an acute treatment and as a maintenance treatment of bipolar disorder was evaluated through a review of the evidence, focusing on modern, randomized, parallel‐group designed trials. Additionally, the evidence was sought translated into the proper use of lithium in clinical practice. Lithium's antimanic efficacy has been convincingly demonstrated. However, as blood monitoring due to the risk of toxicity is required and due to an insufficient response in highly agitated patients, lithium monotherapy has a limited place in the acute treatment of severe manic states. For acute bipolar depression, results are conflicting. Recent maintenance trials have added substantially to the documentation of lithium's long‐term stabilizing properties in bipolar disorder, and these properties have been demonstrated independently of any acute response to lithium. Finally, it is now beyond doubt that not only does lithium prevent mania, but also depression in bipolar disorder. Lithium is still to be considered a major if not the most important mood‐ stabilizer, at least for maintaining long‐term stability in patients with bipolar disorder. The potential risks of lithium should be weighed up against its benefits and the fact that serious adverse effects are usually avoidable.

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Metadata

Authors
Licht, R. W.
Venue
CNS Neuroscience & Therapeutics
Publisher
Wiley
Published
2011-06-23
Volume
18
Issue
3
Pages
219-226
ISSN
  • 1755-5930 (ISSN-L)
  • 1755-5949
OpenAlex
W2133809326
Cited by
168
References
10
FWCI
6.11
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Lithium: Still a Major Option in the Management of Bipolar Disorder. https://app.cochat.ai/papers/10.1111/j.1755-5949.2011.00260.x
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Licht, R. W. (2012). Lithium: Still a Major Option in the Management of Bipolar Disorder. CNS Neuroscience & Therapeutics. https://doi.org/10.1111/j.1755-5949.2011.00260.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.