DRN Lithium 250 mcg Ingredients & Drug Interactions
by Kirkman
What is this page for?
First and foremost: checking DRN Lithium 250 mcg against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
DRN Lithium 250 mcg is a dietary supplement by Kirkman with 1 active ingredient. Its ingredients are commonly taken for mood support, bipolar disorder (prescription), healthy mental function.Based on those ingredients, 515 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are Lithium Citrate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against DRN Lithium 250 mcg by Kirkman
Ask about any prescription or over-the-counter medication and we check it for interactions with DRN Lithium 250 mcg by Kirkman — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of DRN Lithium 250 mcg by Kirkman
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: lithium citrate at 250 micrograms per capsule. Inactive ingredients—hypromellose, water, and microcrystalline cellulose—are the capsule material and binding agents.
Does it work?
Couldn't assess
The evidence for lithium citrate supplements is not established in the data we hold. The product facts list several uses (alcohol use disorder, Alzheimer disease, ALS, anorexia nervosa, and asthma), but all of them are rated as having insufficient reliable evidence to rate—meaning the studies are too limited or unclear to confirm whether it works for those purposes.
How safe is it?
Well-documented data
Prescription lithium is generally well tolerated when used as prescribed and monitored, but it has a narrow safety margin—the difference between an effective dose and a toxic one is small. Supplement forms are not well studied, and it's unclear how lower doses affect side effects.
Common adverse effects with prescription lithium include tremor, fatigue, muscle weakness, weight gain, increased thirst and urination, and gastrointestinal symptoms. Lithium can also cause or worsen skin conditions like acne and psoriasis.
Pregnancy safety is rated as Possibly Unsafe—lithium can cross the placenta and has been linked to birth defects—so avoid it unless your doctor directs and monitors you. Lactation is rated Likely Unsafe because lithium passes into breast milk and may affect the infant; avoid unless supervised by a doctor.
Do not stop lithium abruptly; gradual tapering over at least 14 days is necessary to prevent relapse of bipolar symptoms.
Meds to double-check
Major interaction found
Before taking this product, check with your doctor or pharmacist if you take serotonergic drugs (SSRIs and similar antidepressants), diuretics (water pills), skeletal muscle relaxants, NSAIDs, antipsychotics, ACE inhibitors, calcium channel blockers, or anticonvulsants. These are the drug types with documented interactions.
The bottom line
Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
This supplement carries serious interactions with common medications, especially antidepressants and water pills, and prescription lithium requires blood monitoring to stay safe—a practice not standard with supplements. If you're considering it, talk with your doctor or pharmacist first about whether it's appropriate for you and what you need to monitor.
Pregnancy and breastfeeding require medical supervision if you use lithium at all.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Oct 24, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about DRN Lithium 250 mcg, straight from the product label.
| Brand | Kirkman |
|---|---|
| Barcode (UPC) | 812325022304 |
| Net contents | 60 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Oct 24, 2023 |
| DSLD ID | 297030 |
| Product type | Mineral |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Dairy Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for DRN Lithium 250 mcg by Kirkman, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Lithium Citrate | 250 mcg | -- |
Other ingredients: Hypromellose, Water, Microcrystalline Cellulose
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Storage
Important: Store in a cool dry place and tightly capped.
Precautions
Keep out of the reach of children.
If pregnant, nursing, or taking any medications, consult our healthcare professional before using this or any other product
Seals/Symbols
Ultra Tested cGMP Current Good Manufacturing Practice Consistent Quality
Formulation
Hypoallergenic
Gluten free
Special formulation for use with DRN's supplement review program
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: Take one capsule daily or as directed by your healthcare professional.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
DRN Lithium 250 mcg by Kirkman label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in DRN Lithium 250 mcg by Kirkman
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 Capsule(s) Dosage formCapsule Servings per container60 Amounts shown are per serving.
Lithium Citrate
Interacts with515 drugs
Lithium is a naturally occurring metal that, in prescription form (lithium carbonate or citrate), is an FDA-approved, well-proven treatment for bipola...
Lithium Citrate monograph & interactionsOther (inactive) ingredients: Hypromellose, Water, Microcrystalline Cellulose. These complete the product’s ingredient list but are not active constituents.
DRN Lithium 250 mcg by Kirkman Drug Interactions
HelloPharmacist Interaction Report
DRN Lithium 250 mcg by Kirkman contains lithium citrate, which does interact with medications.
The most serious interaction is with serotonergic drugs—SSRIs and similar antidepressants—where lithium may both mask and increase the risk of serotonin syndrome, a potentially dangerous condition involving confusion, agitation, and other symptoms.
Read the full breakdown — every affected drug type, severity by severity
Lithium also carries Major-severity interactions with diuretic drugs (water pills). Loop diuretics and thiazide diuretics can reduce how your kidneys clear lithium, raising lithium levels in your blood and the risk of side effects—especially if you're on a sodium-restricted diet.
Moderate interactions exist with skeletal muscle relaxants (which may prolong muscle paralysis during anesthesia), NSAIDs like ibuprofen and naproxen (which can raise lithium levels), antipsychotic drugs (encephalopathic syndrome has been reported), ACE inhibitors for blood pressure, calcium channel blockers, and anticonvulsants. It is often unclear whether these interactions would occur at the lower doses in this supplement, but the risk exists.
Altogether, these interactions span 515 individual medications. Before you take this product, check your exact medications with the search tool on this page and talk with your doctor or pharmacist about whether this supplement is appropriate for you.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against DRN Lithium 250 mcg?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in DRN Lithium 250 mcg interact with 515 drugs. Click any drug to see the details.
1 of the 1 ingredient in DRN Lithium 250 mcg interact with drugs. Each result below shows which ingredient is responsible. Lithium Citrate
AcepromazineAtravet
How Acepromazine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitratePhenothiazines, Antipsychotic Drugs Moderate
Interaction Summary
Theoretically, taking lithium supplements with phenothiazines might decrease the levels and clinical effects of phenothiazines.
Read the full Lithium Citrate + Acepromazine interactionAcetaminophen, AspirinGemnisyn
How Acetaminophen, Aspirin interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids) Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Acetaminophen, Aspirin interactionAcetaminophen, Aspirin, CaffeineExcedrin, Excedrin Extra Strength, Excedrin Migraine
How Acetaminophen, Aspirin, Caffeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids), Methylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Acetaminophen, Aspirin, Caffeine interactionAcetaminophen, Butalbital, CaffeineEsgic, Esgic Plus, Fiogesic, Fioricet, Repan, Tecnal +1 more
How Acetaminophen, Butalbital, Caffeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Butalbital, Caffeine interactionAcetaminophen, Butalbital, Caffeine, CodeineEsgic with Codeine, Fioricet w/ Codeine
How Acetaminophen, Butalbital, Caffeine, Codeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Butalbital, Caffeine, Codeine interactionAcetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, PhenylephrineHycomine Compound
How Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Caffeine, Chlorpheniramine, Hydrocodone, Phenylephrine interactionAcetaminophen, Caffeine, CodeineGesic C15, Gesic C30, Gesic C8, Lenoltec 1, Lenoltec 2, Lenoltec 3 +1 more
How Acetaminophen, Caffeine, Codeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Caffeine, Codeine interactionAcetaminophen, Caffeine, Codeine, SalicylamideCodalan No.1, Codalan No.2, Codalan No.3
How Acetaminophen, Caffeine, Codeine, Salicylamide interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Caffeine, Codeine, Salicylamide interactionAcetaminophen, Caffeine, DihydrocodeineDHC Plus, Panlor DC, Panlor SS
How Acetaminophen, Caffeine, Dihydrocodeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Caffeine, Dihydrocodeine interactionAcetaminophen, Caffeine, IsomethepteneMigralam
How Acetaminophen, Caffeine, Isometheptene interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Acetaminophen, Caffeine, Isometheptene interactionAcetaminophen, ChlorzoxazoneAcetazone Forte, Extra Strength Tylenol Aches & Strains, Parafon Forte
How Acetaminophen, Chlorzoxazone interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Acetaminophen, Chlorzoxazone interactionAcetaminophen, Chlorzoxazone, CodeineAcetazone Forte C8, Parafon Forte C8
How Acetaminophen, Chlorzoxazone, Codeine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Acetaminophen, Chlorzoxazone, Codeine interactionAcetaminophen, Codeine, MethocarbamolAcetaminophen, Codeine, Methocarbamol, Robaxacet 8
How Acetaminophen, Codeine, Methocarbamol interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Acetaminophen, Codeine, Methocarbamol interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids) Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Acetaminophen, Ibuprofen interactionAcetaminophen, MethocarbamolRobaxacet
How Acetaminophen, Methocarbamol interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Acetaminophen, Methocarbamol interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Acetaminophen, Orphenadrine interactionAcetophenazineTindal
How Acetophenazine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateAntipsychotic Drugs Moderate
Interaction Summary
Theoretically, taking lithium supplements with antipsychotic drugs might increase the risk of encephalopathic syndrome.
Read the full Lithium Citrate + Acetophenazine interactionAcetylsalicylic AcidEntrophen
How Acetylsalicylic Acid interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids) Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Acetylsalicylic Acid interactionAlcuroniumAlcuronium
How Alcuronium interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateSkeletal Muscle Relaxants Moderate
Interaction Summary
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Read the full Lithium Citrate + Alcuronium interactionAluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium HydroxideAscriptin Codeine #2
How Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids) Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Aluminum Hydroxide, Aspirin, Codeine Phosphate, Magnesium Hydroxide interactionAluminum Hydroxide, Aspirin, Magnesium HydroxideAscriptin
How Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids) Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Aluminum Hydroxide, Aspirin, Magnesium Hydroxide interactionAminophyllineAminophylline
How Aminophylline interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateMethylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Read the full Lithium Citrate + Aminophylline interactionAminophylline, Amobarbital, EphedrineAmesec
How Aminophylline, Amobarbital, Ephedrine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateAnticonvulsants, Methylxanthines Moderate
Interaction Summary
Theoretically, taking lithium supplements with anticonvulsants might increase the risk of neurotoxicity.
Read the full Lithium Citrate + Aminophylline, Amobarbital, Ephedrine interactionAmlodipineNorliqva
How Amlodipine interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with calcium channel blockers might reduce lithium levels and might also increase the risk of certain adverse effects.
Read the full Lithium Citrate + Amlodipine interactionAmlodipine BenzoateKaterzia
How Amlodipine Benzoate interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with calcium channel blockers might reduce lithium levels and might also increase the risk of certain adverse effects.
Read the full Lithium Citrate + Amlodipine Benzoate interactionAmlodipine BesilateIstin
How Amlodipine Besilate interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with calcium channel blockers might reduce lithium levels and might also increase the risk of certain adverse effects.
Read the full Lithium Citrate + Amlodipine Besilate interactionAmlodipine BesylateNorvasc
How Amlodipine Besylate interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateCalcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with calcium channel blockers might reduce lithium levels and might also increase the risk of certain adverse effects.
Read the full Lithium Citrate + Amlodipine Besylate interactionAmlodipine Besylate, BenazeprilLotrel
How Amlodipine Besylate, Benazepril interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateAce Inhibitors (aceis), Calcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with ACEIs might increase levels and adverse effects of lithium.
Read the full Lithium Citrate + Amlodipine Besylate, Benazepril interactionAmlodipine, CelecoxibConsensi
How Amlodipine, Celecoxib interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateNonsteroidal Anti-inflammatory Drugs (nsaids), Calcium Channel Blockers Moderate
Interaction Summary
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
Read the full Lithium Citrate + Amlodipine, Celecoxib interactionAmobarbitalAmytal
How Amobarbital interacts with DRN Lithium 250 mcg — through 1 ingredient. Tap an ingredient for the detail:
Lithium CitrateAnticonvulsants Moderate
Interaction Summary
Theoretically, taking lithium supplements with anticonvulsants might increase the risk of neurotoxicity.
Read the full Lithium Citrate + Amobarbital interactionEach ingredient & the kinds of drugs it affects
For each ingredient in DRN Lithium 250 mcg with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Lithium Citrate
Diuretic Drugs
Theoretically, taking lithium supplements with loop diuretics might increase lithium levels and adverse effects.
Thiazide diuretics and loop diuretics might reduce lithium excretion, particularly in sodium-restricted patients. If lithium is clinically indicated and other treatment options are unavailable or inadequate in patients using diuretics, lithium treatment can be initiated with extreme caution. Serum lithium should be measured frequently and the doses used should be the lowest dose ordinarily tolerated. It is unclear if this interaction would be clinically significant with the smaller doses found in lithium supplements.
Serotonergic Drugs
Theoretically, taking lithium supplements with serotonergic drugs might both mask and increase the risk of serotonin syndrome.
In a case report, a 67-year-old female with depression and bipolar disorder using lithium in combination with selective serotonin reuptake inhibitors (SSRIs) and other medications developed serotonin syndrome with symptoms of deep tendon hyperreflexia, muscle rigidity, tremor, and hyperthermia. However, agitation, one classical symptom of serotonin syndrome, was lacking. This was thought to be due to masking by lithium toxicity. Lithium can increase serotonin levels, thus, combining serotonergic drugs with lithium might increase the risk of serotonergic side effects including serotonin syndrome and cerebral vasoconstrictive disorders. It is unclear if this interaction would occur with the smaller doses found in lithium supplements.
Ace Inhibitors (Aceis)
Theoretically, taking lithium supplements with ACEIs might increase levels and adverse effects of lithium.
Concomitant administration of ACEIs with lithium may increase lithium concentrations. It is unclear if this interaction would be clinically significant with the smaller doses found in lithium supplements.
Anticonvulsants
Theoretically, taking lithium supplements with anticonvulsants might increase the risk of neurotoxicity.
Drugs such as carbamazepine and phenytoin seem to increase the risk of neurotoxicity. It is unclear if this interaction would occur with the smaller doses found in lithium supplements.
Antipsychotic Drugs
Theoretically, taking lithium supplements with antipsychotic drugs might increase the risk of encephalopathic syndrome.
Encephalopathic syndrome has been reported in multiple patients taking prescription lithium and antipsychotics concomitantly. Symptoms have included weakness and lethargy, fever, confusion, and extrapyramidal symptoms. In some patients, resulting brain damage was irreversible. Although there is no established causal relationship between these symptoms and the combination of lithium and antipsychotic medications, there is a theoretical relationship. It is unclear if this interaction would occur with the smaller doses found in lithium supplements.
Calcium Channel Blockers
Theoretically, taking lithium supplements with calcium channel blockers might reduce lithium levels and might also increase the risk of certain adverse effects.
Calcium channel blockers might reduce lithium concentrations. Monitor lithium levels with concurrent use. Calcium channel blockers might also increase the adverse neurological and gastrointestinal adverse effects of lithium. It is unclear if these interactions would occur with the smaller doses found in lithium supplements.
Methyldopa (Aldomet)
Theoretically, taking lithium supplements with methyldopa might increase the risk of lithium toxicity.
Concurrent use of methyldopa with lithium increases the risk of lithium toxicity. It is unclear if this interaction would be clinically significant with the smaller doses found in lithium supplements.
Methylxanthines
Theoretically, taking lithium supplements with methylxanthines might decrease lithium levels.
Xanthines such as aminophylline, caffeine, and theophylline (Theo-Dur, Theo-24, others) might increase the clearance of lithium. It is unclear if this interaction would be clinically significant with the smaller doses found in lithium supplements.
Nonsteroidal Anti-Inflammatory Drugs (Nsaids)
Theoretically, taking lithium supplements with NSAIDs might increase lithium levels and adverse effects.
NSAIDs can decrease the renal clearance of lithium and increase lithium levels. It is unclear if this interaction would be clinically significant with the smaller doses found in lithium supplements.
Phenothiazines
Theoretically, taking lithium supplements with phenothiazines might decrease the levels and clinical effects of phenothiazines.
Concomitant use of lithium with phenothiazines might reduce lithium concentrations. Lithium might also reduce phenothiazine concentrations, making the pharmacokinetic effect unpredictable. It is unclear if these interactions would occur with the smaller doses found in lithium supplements.
Skeletal Muscle Relaxants
Theoretically, taking lithium supplements with skeletal muscle relaxants might prolong neuromuscular blockade.
Lithium might prolong neuromuscular blockade. It is unclear if this interaction would occur with the smaller doses found in lithium supplements.
Brand information
Manufacturer and brand details for DRN Lithium 250 mcg, from the product label.
Kirkman
See all Kirkman products- Name
- Kirkman
- City
- Lake Oswego
- State
- OR
- ZipCode
- 97035
- Phone Number
- (800) 245-8282
- Web Address
- www.kirkmangroup.com
DRN Lithium 250 mcg by Kirkman: Common Questions
Does DRN Lithium 250 mcg by Kirkman interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm on an SSRI antidepressant?
What if I take a water pill for blood pressure?
Does this supplement actually work for depression or bipolar disorder?
Is it safe to take if I'm pregnant or breastfeeding?
What are the most common side effects?
Can I just stop taking lithium if I switch supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if DRN Lithium 250 mcg is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind DRN Lithium 250 mcg’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
DRN Lithium 250 mcg's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 26 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Lithium 26 references
- Martindale W. Martindale the Extra Pharmacopoeia. Pharmaceutical Press, 1999.
- McEvoy GK, ed. AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists, 1998.
- Perlis RH, Sachs GS, Lafer B, et al. Effect of abrupt change from standard to low serum levels of lithium: a reanalysis of double-blind lithium maintenance data. Am J Psychiatry 2002;159:1155-9.. PubMed
- Pinelli JM, Symington AJ, Cunningham KA, Paes BA. Case report and review of the perinatal implications of maternal lithium use. Am J Obstet Gynecol 2002;187:245-9.. PubMed
- Sawagashira R, Sasagawa Y, Matsukura M, Takamaru Y. Case of myxedema coma induced by lithium carbonate in a patient with schizophrenia. Psychiatry Clin Neurosci. 2018;72(2):131. PubMed
- Foulser P, Abbasi Y, Mathilakath A, Nilforooshan R. Do not treat the numbers: lithium toxicity. BMJ Case Rep. 2017;2017. pii: bcr-2017-220079. PubMed
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/017812s028,018421s027lbl.pdf. Accessed Nov. 21, 2018
- Fornaro M, Maritan E, Ferranti R, et al. Lithium Exposure During Pregnancy and the Postpartum Period: A Systematic Review and Meta-Analysis of Safety and Efficacy Outcomes. Am J Psychiatry. 2020;177(1):76-92. DOI
- Rauf A, Gul S, Nasir M, Arif U, Oyenuga M. A Rare Case of Lithium-induced Partial Nephrogenic Diabetes Insipidus. Cureus. 2020;12(4):e7877. PubMed
- Hanna RM, Hasnain H, Sangalang MD, et al. Three Patients with Lithium-Associated Hyperparathyroidism: Literature Review Regarding Medical and Surgical Management. Case Rep Nephrol Dial. 2019;9(2):108-118. PubMed
- Rana P, Alba Aponte P, Babar G. An Adolescent Female with Bipolar Disorder Presenting with Lithium-Induced Hyperthyroidism. Case Rep Endocrinol. 2020;2020:1283464. PubMed
- Nwabufor PC, Omoniyi ON, Oyibo SO. A Case of Lithium-Associated Hypocalciuric Hypercalcemia. Cureus. 2020;12(9):e10606. PubMed
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