Lithium tremor and caffeine intake: two cases of drinking less and shaking more

J Clin Psychiatry. 1988 Feb;49(2):72-3.

Abstract

Lithium tremor worsened in two patients when caffeine (coffee) was eliminated from their diets. An associated reduction in renal lithium clearance resulting in increased serum lithium level is thought to be the mechanism.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bipolar Disorder / drug therapy
  • Caffeine / adverse effects*
  • Caffeine / pharmacology
  • Coffee*
  • Female
  • Humans
  • Lithium / administration & dosage
  • Lithium / adverse effects*
  • Lithium / metabolism
  • Middle Aged
  • Substance Withdrawal Syndrome / metabolism*
  • Tremor / chemically induced*

Substances

  • Coffee
  • Caffeine
  • Lithium