Lithium citrate 509mg/5ml oral solution
Requires a prescription from a doctor or prescriber
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Safety monitoring data
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Suspected adverse reactions reported for Lithium citrate
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Li-Liquid 509mg/5ml oral solution
This is the NHS Drug Tariff indicative price used for reimbursement purposes. It may not reflect the price paid by patients or pharmacies.
View full Drug TariffSource: NHS Drug Tariff via NHSBSA. Derived from dm+d VMPP (Virtual Medicinal Product Pack) pricing data. Contains public sector information licensed under the Open Government Licence v3.0.
Therapeutically similar medicines
Similarity is based on WHO Anatomical Therapeutic Chemical (ATC) classification and on a factual NHS dm+d therapeutic-grouping code prefix. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
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Codes for healthcare professionals and prescribing systems
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NHS UK identifiers
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SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Academic studies and reviews for this medicine's active substance
Showing the 50 most relevant studies.
Reviews & meta-analyses: 6 · Randomised trials: 2 · 1977–2026
Showing the 50 most relevant studies, sorted by most relevant.
R. Priyadarsini, N. Venkateswaramurthy
Journal of Drug Delivery and Therapeutics, 2023
Hovgesen SV, Licht RWW, Straszek SPV, et al.
2025
- Lithium Compounds
- Piperazines
- Antidepressive Agents
IntroductionDepression is the dominant phase in bipolar disorder, but the available treatments are scarce. Lithium is a first-line option in several guidelines despite limited evidence, whereas cariprazine has a well-documented efficacy for depressive episodes. By comparing lithium and cariprazine in terms of efficacy and tolerability, we aim to contribute to an evidence-based positioning of lithium in future guidelines.Methods and analysisAn open label, randomised, multicentre, investigator-sponsored comparison of lithium versus cariprazine with a treatment duration of 8 weeks. Participants are aged 18-65 years and are suffering from a depressive episode as part of bipolar disorder, type 1 or 2. The primary outcome is the difference between the two groups in change from baseline to endpoint on Hamilton depression scale, 6 item version, based on the modified intention-to-treat population. Continuous variables will be analysed by using two-sided t-tests and mixed effects models. For categorical measures, χ2 tests and multivariable models will be applied. Secondary outcomes include AEs and measures of well-being, depressive, manic and suicidal symptoms, as well as cognitive function. The study is powered as a superiority trial, with a calculated study population of 122 participants.Ethics and disseminationProtocol has been approved by the regional ethical committee N-20220007 and European Medicines Agency. All participants provide written informed consent. The protocol was written according to Standard Protocol Items: Recommendations for Interventional Trials 2013 guidelines. Results will be disseminated in peer-reviewed international journals.Trial registration numberEU-CTR, 2024-517170-20-01; NCT05913947.
Abstract licence: CC BY-NC
Guoxin Gao, Hao-Bin Wu, X. Lou
Advanced Energy Materials, 2014
Tsutomu Ohzuku, Atsushi Ueda, Masatoshi Nagayama, et al.
Electrochimica Acta, 1993
Marc Doyle, Thomas F. Fuller, John Newman
Electrochimica Acta, 1994
J.R. Dahn, A.K. Sleigh, Hang Shi, et al.
Electrochimica Acta, 1993
Eishun Tsuchida, Hiroyuki Ohno, Koichi Tsunemi
Electrochimica Acta, 1983
E. Y. Villegas-Vázquez, Laura Itzel Quintas-Granados, Hernán Cortés, et al.
Life, 2023
Min Yu, Zehui Zhang, Feng Xue, et al.
Separation and Purification Technology, 2019
T. Ohzuku, Z. Takehara, S. Yoshizawa
Electrochimica Acta, 1979
Sources: aggregated from Europe PMC (EMBL-EBI), OpenAlex, Crossref, PubMed and other open scholarly databases. Retracted articles are excluded. Study information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
139 found
Half-life
Not available
Mechanism
The precise mechanism of action of Li+ as a mood-stabilizing agent is currently unknown.
Food interactions
5 warnings
Human targets
4 targets
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Known interactions with other medicines. Always consult a healthcare professional.
Showing 50 of 1079 interactions
Proteins and enzymes this drug interacts with in the body
PMID:17068342
It is likely that IMPA2 has an as yet unidentified in vivo substrate(s) .
PMID:17068342
Has been implicated as the pharmacological target for lithium (Li(+)) action in brain PMID:17068342
PMID:17068342 PMID:8718889 PMID:9462881
Is also able to dephosphorylate scyllo-inositol-phosphate, myo-inositol 1,4-diphosphate, scyllo-inositol-1,3-diphosphate and scyllo-inositol-1,4-diphosphate .
PMID:17068342
Also dephosphorylates in vitro other sugar-phosphates including D-galactose-1-phosphate, glucose-1-phosphate, glucose-6-phosphate, fructose-1-phosphate, beta-glycerophosphate and 2'-AMP .
PMID:17068342 PMID:8718889 PMID:9462881
Responsible for the provision of inositol required for synthesis of phosphatidylinositols and polyphosphoinositides, and involved in maintaining normal brain function .
PMID:26416544 PMID:8718889
Has been implicated as the pharmacological target for lithium (Li(+)) action in brain, which is used to treat bipolar affective disorder .
PMID:17068342
Is equally active with 1D-myo-inositol 1-phosphate, 1D-myo-inositol 3-phosphate and D-galactose 1-phosphate PMID:9462881
PMID:11430833 PMID:12554650 PMID:14690523 PMID:16484495 PMID:1846781 PMID:20937854 PMID:9072970
Requires primed phosphorylation of the majority of its substrates .
PMID:11430833 PMID:16484495
In skeletal muscle, contributes to insulin regulation of glycogen synthesis by phosphorylating and inhibiting GYS1 activity and hence glycogen synthesis .
PMID:8397507
May also mediate the development of insulin resistance by regulating activation of transcription factors .
PMID:8397507
Regulates protein synthesis by controlling the activity of initiation factor 2B (EIF2BE/EIF2B5) in the same manner as glycogen synthase .
PMID:8397507
In Wnt signaling, GSK3B forms a multimeric complex with APC, AXIN1 and CTNNB1/beta-catenin and phosphorylates the N-terminus of CTNNB1 leading to its degradation mediated by ubiquitin/proteasomes .
PMID:12554650
Phosphorylates JUN at sites proximal to its DNA-binding domain, thereby reducing its affinity for DNA .
PMID:1846781
Phosphorylates NFATC1/NFATC on conserved serine residues promoting NFATC1/NFATC nuclear export, shutting off NFATC1/NFATC gene regulation, and thereby opposing the action of calcineurin .
PMID:9072970
Phosphorylates MAPT/TAU on 'Thr-548', decreasing significantly MAPT/TAU ability to bind and stabilize microtubules .
PMID:14690523
MAPT/TAU is the principal component of neurofibrillary tangles in Alzheimer disease .
PMID:14690523
Plays an important role in ERBB2-dependent stabilization of microtubules at the cell cortex .
PMID:20937854
Phosphorylates MACF1, inhibiting its binding to microtubules which is critical for its role in bulge stem cell migration and skin wound repair (By similarity). Probably regulates NF-kappa-B (NFKB1) at the transcriptional level and is required for the NF-kappa-B-mediated anti-apoptotic response to TNF-alpha (TNF/TNFA) (By similarity). Negatively regulates replication in pancreatic beta-cells, resulting in apoptosis, loss of beta-cells and diabetes (By similarity).
Through phosphorylation of the anti-apoptotic protein MCL1, may control cell apoptosis in response to growth factors deprivation (By similarity). Phosphorylates MUC1 in breast cancer cells, decreasing the interaction of MUC1 with CTNNB1/beta-catenin .
PMID:9819408
Is necessary for the establishment of neuronal polarity and axon outgrowth .
PMID:20067585
Phosphorylates MARK2, leading to inhibition of its activity (By similarity). Phosphorylates SIK1 at 'Thr-182', leading to sustainment of its activity .
PMID:18348280
Phosphorylates ZC3HAV1 which enhances its antiviral activity .
PMID:22514281
Phosphorylates SNAI1, leading to its ubiquitination and proteasomal degradation .
PMID:15448698 PMID:15647282 PMID:25827072 PMID:29059170
Phosphorylates SFPQ at 'Thr-687' upon T-cell activation .
PMID:20932480
Phosphorylates NR1D1 st 'Ser-55' and 'Ser-59' and stabilizes it by protecting it from proteasomal degradation.
Regulates the circadian clock via phosphorylation of the major clock components including BMAL1, CLOCK and PER2 .
PMID:19946213 PMID:28903391
Phosphorylates FBXL2 at 'Thr-404' and primes it for ubiquitination by the SCF(FBXO3) complex and proteasomal degradation (By similarity). Phosphorylates CLOCK AT 'Ser-427' and targets it for proteasomal degradation .
PMID:19946213
Phosphorylates BMAL1 at 'Ser-17' and 'Ser-21' and primes it for ubiquitination and proteasomal degradation .
PMID:28903391
Phosphorylates OGT at 'Ser-3' or 'Ser-4' which positively regulates its activity. Phosphorylates MYCN in neuroblastoma cells which may promote its degradation .
PMID:24391509
Regulates the circadian rhythmicity of hippocampal long-term potentiation and BMAL1 and PER2 expression (By similarity).
Acts as a regulator of autophagy by mediating phosphorylation of KAT5/TIP60 under starvation conditions, activating KAT5/TIP60 acetyltransferase activity and promoting acetylation of key autophagy regulators, such as ULK1 and RUBCNL/Pacer .
PMID:30704899
Negatively regulates extrinsic apoptotic signaling pathway via death domain receptors. Promotes the formation of an anti-apoptotic complex, made of DDX3X, BRIC2 and GSK3B, at death receptors, including TNFRSF10B. The anti-apoptotic function is most effective with weak apoptotic signals and can be overcome by stronger stimulation .
PMID:18846110
Phosphorylates E2F1, promoting the interaction between E2F1 and USP11, stabilizing E2F1 and promoting its activity .
PMID:17050006 PMID:28992046
Phosphorylates mTORC2 complex component RICTOR at 'Ser-1235' in response to endoplasmic stress, inhibiting mTORC2 .
PMID:21343617
Phosphorylates mTORC2 complex component RICTOR at 'Thr-1695' which facilitates FBXW7-mediated ubiquitination and subsequent degradation of RICTOR .
PMID:25897075
Phosphorylates FXR1, promoting FXR1 ubiquitination by the SCF(FBXO4) complex and FXR1 degradation by the proteasome (By similarity).
Phosphorylates interleukin-22 receptor subunit IL22RA1, preventing its proteasomal degradation (By similarity)
PMID:17989220
The receptor then desensitizes rapidly and enters a transient inactive state, characterized by the presence of bound agonist .
PMID:17989220
In the presence of CACNG8, shows resensitization which is characterized by a delayed accumulation of current flux upon continued application of glutamate PMID:21172611
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Lithium citrate
Additional database identifiers
Drugs Product Database (DPD)
1399
ChemSpider
12932
HUGO Gene Nomenclature Committee (HGNC)
HGNC:6051
GenAtlas
IMPA2
GeneCards
IMPA2
GenBank Gene Database
AF014398
GenBank Protein Database
2406666
UniProt Accession
IMPA2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:6050
GenAtlas
IMPA1
GeneCards
IMPA1
GenBank Gene Database
X66922
GenBank Protein Database
395340
Guide to Pharmacology
1463
UniProt Accession
IMPA1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:4617
GenAtlas
GSK3B
GeneCards
GSK3B
GenBank Gene Database
L33801
GenBank Protein Database
529237
Guide to Pharmacology
2030
UniProt Accession
GSK3B_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:4573
GenAtlas
GRIA3
GeneCards
GRIA3
GenBank Gene Database
U10302
GenBank Protein Database
507829
Guide to Pharmacology
446
UniProt Accession
GRIA3_HUMAN
DrugBank citations
If you use DrugBank data in your research, please cite:
- DrugBank 6.02024Recommended citationKnox C., Wilson M., Klinger C.M., et alDrugBank 6.0: the DrugBank Knowledgebase for 2024Nucleic Acids Res. 2024 Jan 552(D1):D1265-D1275
- DrugBank 5.02018Wishart D.S., Feunang Y.D., Guo A.C., et alDrugBank 5.0: a major update to the DrugBank database for 2018Nucleic Acids Res. 2017 Nov 846(D1):D1074-D1082
- DrugBank 4.02014Law V., Knox C., Djoumbou Y., et alDrugBank 4.0: shedding new light on drug metabolismNucleic Acids Res. 2014 Jan 142(1):D1091-7
- DrugBank 3.02011Knox C., Law V., Jewison T., et alDrugBank 3.0: a comprehensive resource for 'omics' research on drugsNucleic Acids Res. 2011 Jan39(Database issue):D1035-41
- DrugBank 2.02008Wishart D.S., Knox C., Guo A.C., et alDrugBank: a knowledgebase for drugs, drug actions and drug targets.Nucleic Acids Research2008 Jan36(Database issue):D901-6
- DrugBank 1.02006Wishart D.S., Knox C., Guo A.C., et alDrugBank: a comprehensive resource for in silico drug discovery and exploration.Nucleic Acids Research2006 Jan 134(Database issue):D668-72