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WebAfter starting lithium: Lithium levels: Target trough level is between 0.8 and 1.2 mmol/L. Some patients who can’t tolerate 0.8 due to side effects can be maintained on 0.6. Levels should not exceed 1.2 given risk of lithium toxicity. When to check level: • 5 to 7 days after starting and 5 to 7 days after dose changes while titrating. Webadjust dose to serum lithium levels (see 2.7). • After a patient’s dose has been stabilised, single nightly doses should be prescribed, where possible, to facilitate morning blood … tsh below 0.1
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