Skip to main content

Lithium

  • Reference work entry
  • First Online:
Encyclopedia of Autism Spectrum Disorders
  • 1178 Accesses

Synonyms

Lithium carbonate; Lithium citrate

Indications

Mania, depression, aggression, mood disturbances.

Mechanisms of Action

Lithium is an alkali metal and is among the oldest employed psychoactive therapeutic agents. Despite this, its precise mechanism of action remains unclear. These have been as varied as reported modulatory effects on neurotrophic factors, biogenic amines/enzymes, adrenergic function, postsynaptic receptor and supersensitivity, and second messenger systems including adenylate cyclase, inositol triphosphate, and protein kinase signaling cascades (Alessi et al. 1994). There is, however, a consensus that much of lithium’s action is via replacement of sodium ion functionality within the body, particularly in its indirect inhibition of neuronal processes. Inhibition of both adenylate cyclase and protein kinase C has been implicated in anti-manic effects associated with lithium. In terms of its action on biogenic amines, lithium is associated with a stimulatory effect...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References and Reading

  • Alessi, N., Naylor, M. W., Ghaziuddin, M., & Zubieta, J. K. (1994). Update on lithium carbonate therapy in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 291.

    PubMed  Google Scholar 

  • Belmaker, R. H., Avissar, S., & Schreiber, G. (1991). Effect of lithium on human neurotransmitter receptor systems and G proteins. In N. J. Birch (Ed.), Lithium and the cell: Pharmacology and biochemistry (pp. 113–119). London: Academic Press.

    Google Scholar 

  • Campbell, M., Adams, P. B., Small, A. M., Kafantaris, V., Silva, R. R., Shell, J., Perry, R., & Overall, J. E. (1995). Lithium in hospitalized aggressive children with conduct disorder: A double-blind and placebo controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 445.

    PubMed  Google Scholar 

  • Gitlin, M. J., & Altshuler, L. L. (1997). Unanswered questions, unknown future for one of our oldest medications. Archives of General Psychiatry, 54, 21–23.

    PubMed  Google Scholar 

  • Jefferson, J. W., Greist, J. H., & Ackerman, D. L. (1987). Lithium encyclopedia for clinical practice. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Lettinga, J. R., Drent, C., Hoekstra, P. J., Buitelaar, J. K., & Glennon, J. C. (2011). Clinical pharmacology of conduct disorder: A critical review. Child and Adolescent Psychopharmacology News, 16(6), 1–10. https://doi.org/10.1521/capn.2011.16.6.1.

    Article  Google Scholar 

  • Manji, H. K., Potter, W. Z., & Lennox, R. H. (1995). Signal transduction pathways. Molecular targets for lithium’s actions. Archives of General Psychiatry, 52, 531–543.

    PubMed  Google Scholar 

  • Mitchell, J. E., & MacKenzie, T. B. (1982). Cardiac effects of lithium therapy in man: A review. The Journal of Clinical Psychiatry, 43, 47.

    PubMed  Google Scholar 

  • Schou, M. (1997). Forty years of lithium treatment. Archives of General Psychiatry, 54, 9–15.

    PubMed  Google Scholar 

  • Sugarman, J. R. (1984). Management of lithium intoxication. Family Practice, 18, 347.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jeffrey Glennon .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Glennon, J. (2021). Lithium. In: Volkmar, F.R. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-91280-6_59

Download citation

Publish with us

Policies and ethics