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Haematological Side-Effects of Lithium

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Handbook of Lithium Therapy

Abstract

Many studies of lithium-treated patients suggest that ingestion of this drug causes a diversity of haematological changes1–3. The most consistent changes documented in the literature have been associated with an elevation of the white blood cell count. Red blood cell counts have not been reported to be affected by lithium administration1,2,4. Lithium effects on circulating platelet counts have been variable, some authors noting no change1,4, but others demonstrating a mild protective effect of lithium on platelet counts of chemotherapy-treated patients5. In addition, another author has noted significant increase in platelet counts in psychiatric patients treated with lithium2. The elevation of the white blood cell count is due primarily to an increase in the number of circulating granulocytes. Lymphocyte counts have been reported either to remain the same (no change in the absolute lymphocyte count or in the absolute number of T and B cells)6 or relatively or absolutely to decrease1–3,7. Though eosinophil and basophil counts generally are not affected1,3,8, mild eosinophilia due to lithium administration has been reported2.

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References

  1. Murphy, D. L., Goodwin, F. K., and Bunney, W. E., Jr. (1971). Leukocytosis during lithium treatment. Am. J. Psychiat., 127, 1559–1561.

    PubMed  CAS  Google Scholar 

  2. Bille, P. E., Jensen, M. K., Jensen, J. P. K. and Poulsen, J. C. (1975). Studies on the haematologic and cytogenetic effect of lithium. Acta Med. Scand., 198, 281–286.

    Article  PubMed  CAS  Google Scholar 

  3. Shopsin, B., Friedmann, R. and Gershon, S. (1971). Lithium and leukocytosis. Clin. Pharmacol. Ther., 12, 923–928.

    PubMed  CAS  Google Scholar 

  4. Stein, R. S., Colleen Beamann, R. N., Ali, M. Y., Hansen, R., Jenkins, D. D. and Jume’an, H. G. (1977). Lithium carbonate attentuation of chemotherapy-induced neutropenia. N. Engl. J. Med., 297, 430–431.

    Article  PubMed  CAS  Google Scholar 

  5. Catane, R., Kaufman, J., Mittelman, A. and Murphy, G. P. (1977). Attenuation of myelosuppression with lithium. N. Engl. J. Med., 297, 452–453.

    Article  PubMed  CAS  Google Scholar 

  6. Friedenberg, W. R. and Marx, J. J. (In press). The effect of lithium carbonate on lymphocyte, granulocyte, and platelet function. Cancer.

    Google Scholar 

  7. Perez-Cruet, J., Dancey, J. T. and Waite, J. (1978). Lithium effects on leukocytosis and lymphopenia. In Johnson, F. N. and Johnson, S. (eds.) Lithium in Medical Practice. University Park Press: Baltimore, pp. 271–277.

    Google Scholar 

  8. Tisman, G., Herbert, V. and Rosenblatt, S. (1973). Evidence that lithium induces human granulocyte proliferation: Elevated serum vitamin B12 binding capacity in vivo and granulocyte colony proliferation in vitro. Br. J. Haematol., 24, 767–771.

    Article  PubMed  CAS  Google Scholar 

  9. Stein, R. S. Hanson, G., Koethe, S. and Hansen, R. (1977). An in vivo evaluation of lithium-induced granulocytosis. Blood, 50 Suppl. 1, 161.

    Google Scholar 

  10. Rothstein, G., Clarkson, D. R., Larsen, W., Grosser, B. I. and Athens, J. W. (1978). Effect of lithium on neutrophil mass and production. N. Engl. J. Med., 298, 178–180.

    Article  PubMed  CAS  Google Scholar 

  11. Rossof, A. H. and Coltman, C. A., Jr. (1975). The effect of lithium carbonate on the granulocyte phagocytic index. Experientia, 32, 238–239.

    Article  Google Scholar 

  12. Gupta, R. C., Robinson, W. A. and Smyth, C. J. (1975). Efficacy of lithium in rheumatoid arthritis with granulocytopenia (Felty’s syndrome). Arthr. Rheum., 18, 179.

    Article  CAS  Google Scholar 

  13. Shenkman, L., Borkowsky, W., Holzman, R. S. and Shopsin, B. (1978). Enhancement of lymphocyte and macrophage function in vitro by lithium chloride. Clin. Immunol. Immunopathol., 10, 187–192.

    Article  PubMed  CAS  Google Scholar 

  14. Turner, R. A., Allalunis, M. J., MacDonald, R. N. and McPherson, T. A. (1978). Effects of a short course of lithium carbonate on granulopoiesis. Clin. Res., 26, 856.

    Google Scholar 

  15. Frenkel, E. P. and Herbert, V. (1974). Frequency of granulocytic leukemia in populations drinking high- vs. low-lithium water. Clin. Res., 22, 390A.

    Google Scholar 

  16. Nielsen, J. L., Christensen, M. S., Pedersen, E. B., Darling S. and Amdisen, A. (1977). Parathyroid hormone in serum during lithium therapy. Scand. J. Clin. Lab. Invest., 37, 369–372.

    Article  PubMed  CAS  Google Scholar 

  17. Harker, W. G., Rothstein, G., Clarkson, D., Athens, J. W. and Macfarland, J. L. (1977). Enhancement of colony-stimulating activity production by lithium. Blood, 49, 263–267.

    PubMed  CAS  Google Scholar 

  18. Barrett, A. J., Griscelli, C., Buriot, D. and Faille, A. (1977). Lithium therapy in congenital neutropenia. Lancet, ii, 1357–1358.

    Article  Google Scholar 

  19. Gupta, R. C., Robinson, W. A. and Kurnick, J. E. (1976). Felly’s syndrome-effect of lithium on granulopoiesis. Am. J. Med., 61, 29–32.

    Article  PubMed  CAS  Google Scholar 

  20. Rossof, A. H. and Fehir, K. M. (1978). Lithium stimulation of granulopoiesis. New Engl. J. Med., 298, 280–281.

    PubMed  CAS  Google Scholar 

  21. Fehir, K. M. and Rossof, A. H. (1978). Lithium carbonate protects canine granulopoiesis from damage by cyclophosphamide. Clin. Res., 26, 434A.

    Google Scholar 

  22. Harker, G. W., Rothstein, G., Clarkson, D. W. and Athens, J. W. (1975). Stimulation of neutrophil production by lithium. Clin. Res., 23, 103A.

    Google Scholar 

  23. Morley, D. C., Jr. and Galbraith, P. R. (1978). Effect of lithium on granulopoiesis in culture. Can. Med. Assoc. J., 118, 288–290.

    PubMed  CAS  Google Scholar 

  24. Morley, D. C. and Galbraith, P. R. (1976). Effect of lithium ions on granulopoiesis in vitro. Clin. Res., 24, 671.

    Google Scholar 

  25. Chan, H. S. L., Freedman, M. H. and Saunders, F. E. (1978). Opposite effects on human erythropoiesis and granulopoiesis in vitro of prostaglandins and lithium chloride. Clin. Res., 26, 343A.

    Google Scholar 

  26. Gelfand, E. W., Dosch, H. M., Limatibul, S., Hastings, D. and Shore, A. (1978). Antagonistic effects of theophylline and lithium on lymphocyte function: A probe for the delineation of cAMP-dependent events. Clin. Res., 26, 376A.

    Google Scholar 

  27. Tisman, G. and Herbert, V. (1973). Studies of effects of cyclic adenosine 3′, 5′- monophosphate in regulation of human hemopoiesis in vitro. In Vitro, 9, 86–91.

    Article  PubMed  CAS  Google Scholar 

  28. Tisman, G., Safire, G. and Wu, G. (1975) Lithium carbonate protection against cancer chemotherapy induced leukopenia. Clin. Res., 23, 115A.

    Google Scholar 

  29. Greco, F. A. and Brereton, H. D. (1977). Effect of lithium carbonate on the neutropenia caused by chemotherapy: A preliminary clinical trial. Oncology, 34, 153–155.

    Article  PubMed  CAS  Google Scholar 

  30. Charron, D., Barrett, A. J., Faille, A., Alby, N., Schmitt, T. and Degos, L. (1977). Lithium in acute myeloid leukaemia. Lancet, i, 1307.

    Article  Google Scholar 

  31. Tisman, G. (1974) Lithium carbonate protection against drug-induced leukopenia in lymphosarcoma patients. IRCS Med. Sci., 2, 1509.

    Google Scholar 

  32. Tisman, G., Safire, G. and Wu, G. (1975). Lithium carbonate stimulation test in blood disorders. Clin. Res., 23, 103A.

    Google Scholar 

  33. Tisman, G., Kellon, D. B., Wu, S. and Safire, G. (1976). Failure of lithium to induce leukocytosis in a patient with granulocytic leukemia in complete remission. Clin. Res., 24, 322A.

    Google Scholar 

  34. Ecanow, B., Gold, B., Touquan, S. and Stanaszek, W. (1967). Tranquilization effects and alterations of blood sedimentation values. Dis. Nerv. Syst., 28, 249–256.

    PubMed  CAS  Google Scholar 

  35. Gold, B., Ecanow, B., Balagot, R. and Levison, R. (1971). Lithiumcarbonate and erythrocyte aggregation states. Dis. Nerv. Syst., 32, 415–417.

    PubMed  CAS  Google Scholar 

  36. Greil, W., Patcheke, H. and Brossmer, M. (1972). Effects of lithium and other monovalent cations on the ADP-induced platelet aggregation in human platelet rich plasma. Febs. Letters, 26, 271.

    Article  PubMed  CAS  Google Scholar 

  37. Anderson, E. R. and Foulkes, J. G. (1976). Competitive inhibition by lithium and hydrogen ions of the effect of calcium on the aggregation of rabbit platelets. Thrombosis Haemostasis, 36, 343–348.

    CAS  Google Scholar 

  38. Hargreaves, L. N. McF. and Hayes, P. C. (1978). The influence of lithium and calcium ions on the aggregation of human blood platelets. Thromb. Res., 13, 79–83.

    Article  PubMed  CAS  Google Scholar 

  39. Geerdink, P., Levy-Toledano, S., Wessels, H., Caen, J. and Haanen, C. (1972). Influence of lithium on aggregation, release-reaction and function of human platelets. Path. Biol., 20 (suppl), 15–27.

    CAS  Google Scholar 

  40. Imandt, L., Genders, T., Wessels, H. and Haanen, C. (1977). The effect of lithium on platelet aggregation and platelet release reaction. Thromb. Res., 11, 297–308.

    Article  PubMed  CAS  Google Scholar 

  41. Ermolaev, Yu. A. (1975). Surface electrical properties of blood cells and hemocoagulation. Byull. Eksp. Biol. Med., 79, 11–14.

    Article  CAS  Google Scholar 

  42. Davis, R. H., Kramer, D. L., Blatman, S. L., Abrams, J. T. and Gindis, D. S. (1975). Effect of lithium carbonate on blood coagulation time in mice. IRCS, 3, 472.

    CAS  Google Scholar 

  43. Hayes, P.C. and Hargreaves, L. N. McF. (1978). Lithium inhibition of ristocetin-induced fibrinogen precipitation. Thromb. Res., 12, 567–568.

    Article  PubMed  CAS  Google Scholar 

  44. Hussain, M. Z., Khan, A. G. and Chaudry, Z. A. (1973). Aplastic anaemia associated with lithium therapy. Can. Med. Assoc. J., 108, 724–728.

    PubMed  CAS  Google Scholar 

  45. Jefferson, J. W. (1975). Aplastic anaemia associated with lithium. Lancet, i, 413.

    Article  Google Scholar 

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Tisman, G., Wu, SJ.G. (1980). Haematological Side-Effects of Lithium. In: Johnson, F.N. (eds) Handbook of Lithium Therapy. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7197-7_37

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  • DOI: https://doi.org/10.1007/978-94-011-7197-7_37

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-011-7199-1

  • Online ISBN: 978-94-011-7197-7

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