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They are intended to stimulate discussion not limit debate. Are there any podiatric consequences of Mrs Singletons current drug treatment.

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It is important that the patient uses the same brand of lithium, as bioavailability may differ with different brands. Toxic effects of lithium can be fatal. Early signs of lithium toxicity are vomiting and severe diarrhoea followed by tremor, ataxia, renal impairment and convulsions. Many non-steroidal anti-inflammatory drugs interact with lithium to increase its plasma concentration and risk of toxicity.

Authored by Dr. Steven Alan Fein, MD

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