Possible lithium toxicity was terrifying
I’ve been pretty dehydrated lately. I’m only on 300 mg lithium so I never really worried about my levels or a threat of toxicity.
I fly a lot for work and a couple of weeks ago I got home & was extremely swollen. My face was swollen. I was retaining a lot of water and I was dehydrated. I crashed the day after. So exhausted I couldn’t function for a day or two. I was being vain and my biggest concern was getting rid of the face bloat. I never even thought about dehydration or lithium. My doctor wanted me to stop taking it anyway, but I told him I was worried about withdrawal and would rather stay on it.
Fast forward to yesterday. I work remote. I was at home and just finished something. The day before I’d done a lot of hard work in my garden and sweating. I probably pulled a muscle. So, my neck and right shoulder started hurting a lot and my hand started tingling. Immediately I felt very nauseous and vomited. Immediately after that my hands started shaking uncontrollably and my whole body started shaking. My hand was shaking so bad I couldn’t text so I used Siri to text a friend and my dad begging for Gatorade. I’m 46, so my dad isn’t young. My dad responded first so he brought the Gatorade. He brought an 8 pack and I had 1 1/2. I immediately stopped shaking, so I thought, ok I’m just dehydrated…still not thinking about the lithium. I’m also perimenopausal I guess, so sometimes I have night sweats.
I woke up this morning soaked in sweat with a fever. I didn’t think & just went to urgent care. At this point I think I’ve had 6 Gatorades. I hate them because there’s so much salt. They tested my urine & I was still dehydrated. I had a very thorough exam. I was there being cared for, for at least 2 hours. I was terrified it could be a heart issue or liver? Or gallbladder? I had so many strange symptoms. I had low grade fever when I got there.
They couldn’t do a level test there but the NP was pretty convinced I’d gone toxic even on a low dose. She administered an IV of fluids. I decided to follow my doctor’s orders and go off lithium. This was absolutely terrifying. Does this sound like toxicity to you? I have no idea but my health just gave me a major scare.