Neurolith SR

Introduction

Neurolith SR 400mg contains lithium carbonate, a mood stabilizer used in the treatment of psychiatric and mood disorders. It helps manage extreme mood swings, mania, depression, and aggression by balancing certain brain chemicals.

Primary Uses / Indications

Doctors prescribe Neurolith SR 400mg for:

• Mania (abnormally high energy or mood)

• Bipolar disorder (manic-depressive illness)

• Recurrent depression

• Aggressive or self-harming behavior

Dosage

• Usual adult dose: 1800 mg/day, divided into 3–4 doses

• Dose may vary based on age, condition, and response

• Always take exactly as prescribed by your doctor

How to Use

• Take with meals to reduce stomach upset

• Swallow tablets whole; do not crush or chew

• Drink plenty of fluids (2–3 liters/day unless advised otherwise)

• Maintain a diet with stable salt intake

• Contact your doctor immediately if you develop severe side effects

Side Effects

Common (usually improve with time):

• Drowsiness or tiredness

• Increased thirst and urination

• Fine hand tremors

• Weight gain

Serious (seek medical help immediately):

• Severe diarrhea, vomiting

• Confusion, slurred speech

• Severe hand tremors or unsteady walk

• Vision problems

• Irregular heartbeat

• Cold hands/feet or joint swelling

Warnings & Precautions

• Pregnancy: Safety not well established. Use only if prescribed.

• Breastfeeding: Not recommended.

• Kidney/Thyroid monitoring: Regular tests required to check lithium levels, kidney, and thyroid function.

• Avoid sudden changes in fluid or salt intake.

• Report persistent headaches, vision changes, or suicidal thoughts immediately.

• Do not stop medication suddenly; tapering is required.

Contraindications (Do Not Use If You Have):

• Addison’s disease (adrenal insufficiency)

• Untreated hypothyroidism

• Disturbed sodium balance or dehydration

• Family history of Brugada syndrome (heart rhythm disorder)

• Severe kidney disease

Drug Interactions

Neurolith SR may interact with:

• Diuretics (water pills)

• NSAIDs (ibuprofen, naproxen)

• Phenytoin, Carbamazepine

• Methyldopa

• Tetracycline antibiotics

Always inform your doctor about all medicines you are taking.

FAQs

Q: How long does it take to work?
A: Lithium may take a few weeks to show full effect. Regular blood tests may be required.

Q: Should I change my diet?
A: Maintain normal meals, stable salt intake, and drink plenty of fluids daily.

Q: Who should avoid lithium?
A: Patients with severe infections, thyroid problems, low sodium, dehydration, or high calcium should avoid it.

Storage

• Store at room temperature

• Keep away from moisture and direct sunlight

• Keep out of children’s reach

Doctor’s Review

“Lithium remains one of the most effective medicines for mood stabilization in bipolar disorder. It helps reduce relapse of mania and depression when monitored carefully. Regular blood tests are essential to ensure safe levels. Patients must not adjust their dose without medical advice.”
— Dr. Ayesha Malik, Consultant Psychiatrist

Disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. Always consult your doctor or pharmacist before starting or changing any medication.