Thyroidectomy and lithium

If a person has undergone a total thyroidectomy (surgical removal of the thyroid gland) and is prescribed lithium, there are several considerations to keep in mind:

1. Monitoring lithium levels: After a thyroidectomy, there is no thyroid tissue remaining to regulate the body's metabolism and hormone levels. As a result, the clearance of lithium from the body may be altered. Regular monitoring of lithium levels is important to ensure therapeutic levels are maintained without reaching toxic levels.

2. Adjusting lithium dosage: The absence of a thyroid gland can impact the body's response to lithium. It may be necessary to adjust the dosage of lithium based on individual response, maintaining a balance between therapeutic effectiveness and potential side effects. This adjustment will be determined by a healthcare professional, usually a psychiatrist or endocrinologist, who will monitor lithium levels and the patient's overall well-being.

3. Thyroid hormone replacement therapy: Since the thyroid gland has been removed, the individual will require lifelong thyroid hormone replacement therapy, typically in the form of synthetic thyroid hormone medications such as levothyroxine. It's crucial to maintain stable thyroid hormone levels to support overall health and prevent hypothyroidism.

4. Regular follow-up and monitoring: Close monitoring of the patient's thyroid hormone levels, lithium levels, and overall health is essential. Regular check-ups with healthcare professionals will help detect any imbalances or potential complications promptly and make necessary adjustments to medications or treatment plans.

It's important to consult with healthcare professionals experienced in managing patients who have undergone a thyroidectomy and are taking lithium. They will provide personalized guidance and ensure appropriate monitoring and management of the patient's condition.