WARNING

Eskalith CR, also known as lithium carbonate, is commonly prescribed to treat bipolar disorder. While it can be effective in managing mood swings, it also carries certain risks. Some of the risks associated with taking Eskalith CR include:

• Kidney Problems: Long-term use of lithium can affect kidney function, leading to conditions such as nephrogenic diabetes insipidus or even kidney failure in rare cases.
• Thyroid Issues: Lithium can interfere with thyroid function, potentially leading to hypothyroidism (underactive thyroid) or goiter (enlarged thyroid gland).
• Weight Gain: Many people experience weight gain while taking lithium, which can contribute to other health issues such as high blood pressure and diabetes.
• Hand Tremors: One common side effect of lithium is hand tremors, which can be mild to severe and interfere with daily activities.
• Increased Thirst and Urination: Lithium can cause excessive thirst and urination, which may indicate potential kidney issues or diabetes insipidus.
• Interaction with Other Medications: Lithium can interact with other medications, including over-the-counter drugs and supplements, leading to adverse effects or reduced effectiveness.
• Toxicity: Taking too much lithium can lead to lithium toxicity, which can be life-threatening. Symptoms include vomiting, diarrhea, confusion, drowsiness, muscle weakness, and seizures.
• Birth Defects: Pregnant women taking lithium may have an increased risk of birth defects in their babies, particularly during the first trimester.

It’s crucial for individuals taking Eskalith CR to have regular check-ups with their healthcare provider to monitor for any potential side effects and ensure their lithium levels remain within the therapeutic range. Additionally, they should follow their prescribed dosage carefully and avoid making any changes to their medication regimen without consulting their doctor.

Why is this medication prescribed?

Eskalith CR, which contains lithium carbonate, is primarily prescribed to treat bipolar disorder, a mental health condition characterized by extreme mood swings that include episodes of depression and mania. It’s particularly effective in stabilizing mood and reducing the frequency and severity of mood swings associated with bipolar disorder.

Eskalith CR is a controlled-release formulation, which means the medication is released slowly over time, providing a more consistent blood level of lithium. This helps to minimize side effects and allows for once-daily dosing.

How should this medicine be used?

Here’s how Eskalith CR is typically used:

• Dosage: The dosage of Eskalith CR varies depending on the individual’s condition and response to treatment. It’s important to follow the doctor’s prescription exactly.
• Timing: Eskalith CR is usually taken once or twice daily with food to minimize stomach upset. It’s important to take it at the same time each day to maintain consistent blood levels of lithium.
• Swallowing: The tablets should be swallowed whole and not crushed, chewed, or broken. Doing so can release too much of the medication at once, increasing the risk of side effects.
• Monitoring: Regular blood tests are necessary to monitor lithium levels in the blood. This helps to ensure that the medication is within the therapeutic range and to prevent toxicity.
• Duration: Eskalith CR is typically taken on a long-term basis to manage bipolar disorder. Stopping the medication suddenly or without consulting a doctor can lead to a recurrence of symptoms.
• Adherence: It’s important to take Eskalith CR exactly as prescribed by the doctor, even if you feel well. Skipping doses or changing the dosage without medical supervision can lead to ineffective treatment or worsening of symptoms.
• Caution with Other Medications: Eskalith CR can interact with other medications, so it’s essential to inform your doctor about all the medications, supplements, and over-the-counter drugs you’re taking.

Always consult a healthcare professional for specific guidance on how to use Eskalith CR safely and effectively, as individual circumstances may vary.

Other uses for this medicine

As for other uses for Eskalith CR, lithium carbonate has been studied and sometimes used off-label for conditions such as:

• Major depressive disorder (in some cases, particularly when other treatments have been ineffective)
• Schizoaffective disorder
• Certain types of aggression or impulsivity
• Cluster headache prevention
• Alcoholism

What special precautions should I follow?

Special precautions should be followed when taking Eskalith CR to ensure its safe and effective use. Here are some key precautions:

• Regular Monitoring: Regular blood tests are necessary to monitor lithium levels in the blood. This helps to ensure that the medication is within the therapeutic range and to prevent toxicity. Monitoring of kidney function and thyroid function may also be recommended.
• Stay Hydrated: Lithium can increase thirst and urination, so it’s important to stay well-hydrated while taking Eskalith CR. Dehydration can increase the risk of lithium toxicity.
• Avoid Excessive Sodium: High levels of sodium in the body can affect lithium levels. Therefore, it’s advisable to maintain a consistent intake of sodium and avoid excessive consumption of salty foods or drinks.
• Be Aware of Signs of Toxicity: It’s important to be aware of the signs of lithium toxicity, which can include vomiting, diarrhea, confusion, drowsiness, muscle weakness, and seizures. If any of these symptoms occur, seek medical attention immediately.
• Be Cautious with Pregnancy and Breastfeeding: Eskalith CR may pose risks to the fetus during pregnancy and may be excreted in breast milk. Pregnant or breastfeeding individuals should discuss the risks and benefits of taking Eskalith CR with their healthcare provider.
• Inform Healthcare Providers: Make sure to inform all healthcare providers involved in your care that you are taking Eskalith CR, as it can interact with other medications and may require adjustments in dosage or monitoring.

Always follow your doctor’s instructions carefully and communicate any concerns or side effects you experience while taking Eskalith CR.

What special dietary instructions should I follow?

Special dietary instructions for Eskalith CR include:

• Maintain a Balanced Diet: Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. A healthy diet can help support overall well-being and may complement the effects of Eskalith CR.
• Consistent Sodium Intake: As mentioned earlier, it’s essential to maintain a consistent level of salt intake in your diet. Avoid excessive consumption of salty foods or sudden changes in salt intake.

What should I do if I forget a dose?

• If you miss a dose, take it as soon as you remember, unless it’s almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule.
• Do not double the dose to make up for a missed one, as this can increase the risk of side effects.
• If you’re unsure about what to do, or if you frequently forget doses, talk to your doctor or pharmacist for guidance on managing your medication schedule effectively.

What side effects can this medication cause?

Eskalith CR (lithium carbonate controlled-release) can cause various side effects, ranging from mild to severe. It’s important to be aware of these potential side effects and to promptly report any concerning symptoms to your healthcare provider. Common side effects of Eskalith CR include:

• Hand Tremors: Shaking or trembling of the hands is a common side effect of lithium treatment. This can range from mild to severe and may affect fine motor skills.
• Increased Thirst and Urination: Lithium can cause excessive thirst and urination, which may indicate potential kidney issues or diabetes insipidus.
• Weight Gain: Many people experience weight gain while taking lithium, which can contribute to other health issues such as high blood pressure and diabetes.
• Nausea and Vomiting: Some individuals may experience nausea and vomiting, especially when starting treatment with Eskalith CR. Taking the medication with food can help reduce these symptoms.
• Dry Mouth: Lithium may cause dry mouth or an unpleasant metallic taste in the mouth.
• Fatigue and Drowsiness: Some people may experience fatigue, drowsiness, or lethargy while taking Eskalith CR.
• Digestive Issues: Lithium can sometimes cause digestive problems such as diarrhea or constipation.
• Muscle Weakness: Lithium may lead to muscle weakness or difficulty coordinating movements.
• Thyroid Function Changes: Lithium can interfere with thyroid function, potentially leading to hypothyroidism (underactive thyroid) or goiter (enlarged thyroid gland).
• Skin Changes: Some individuals may experience skin changes such as acne, rash, or increased sensitivity to sunlight.
• Cognitive Effects: Lithium treatment may affect cognitive function in some individuals, causing difficulties with concentration, memory, or mental clarity.
• Hair Loss: Rarely, lithium treatment may cause hair loss or thinning.

It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects not listed here. Additionally, serious side effects such as lithium toxicity can occur, especially if the medication is not properly monitored. If you experience any concerning symptoms while taking Eskalith CR, contact your healthcare provider for further evaluation and guidance.

What should I know about storage and disposal of this medication?

Storage and Disposal:

• Storage: Store Eskalith CR at room temperature, away from moisture, heat, and light. Avoid storing it in the bathroom or kitchen where moisture levels can fluctuate. Keep the medication out of reach of children and pets.
• Disposal: Dispose of any unused or expired Eskalith CR tablets properly. Do not flush them down the toilet or pour them down the drain unless instructed to do so. Instead, consult your pharmacist or local waste disposal facility for guidance on how to dispose of medications safely.

In case of emergency/overdose

In case of an emergency or overdose of Eskalith CR, seek immediate medical attention or contact your local poison control center at 1-800-222-1222. Symptoms of lithium overdose may include vomiting, diarrhea, confusion, drowsiness, muscle weakness, tremors, seizures, and coma.

What other information should I know?

• Keep all appointments with your doctor for regular check-ups and blood tests to monitor your response to Eskalith CR and detect any potential side effects or complications.
• Inform all healthcare providers involved in your care, including dentists and surgeons, that you are taking Eskalith CR, as it may interact with other medications or affect certain medical procedures.
• Avoid excessive intake of caffeine or stimulants, as they can increase the risk of side effects such as nervousness, tremors, or rapid heartbeat.
• Carry a medical alert card or wear a medical alert bracelet indicating that you are taking lithium in case of emergencies.
• If you plan to travel, make sure to bring an adequate supply of Eskalith CR with you and keep it in its original packaging to avoid confusion with other medications.
• If you have any questions or concerns about Eskalith CR or its usage, do not hesitate to discuss them with your doctor or pharmacist for clarification and guidance.

Following these guidelines can help ensure the safe and effective use of Eskalith CR and minimize the risk of complications or adverse effects.