{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T21:26:38Z","timestamp":1784150798759,"version":"3.55.0"},"reference-count":25,"publisher":"American Association of Psychiatric Pharmacists (AAPP)","issue":"3","license":[{"start":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T00:00:00Z","timestamp":1654819200000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Lithium is among the mainstays of treatment for bipolar disorder. Bariatric surgery can considerably change the oral bioavailability of drugs, particularly lithium. In this review, a 36-year-old male patient is described, who presented with lithium toxicity, including neurologic and gastric symptoms after undergoing Roux-en-Y gastric bypass. The mechanism of lithium toxicity is discussed; recommendations for clinicians regarding lithium use in postsurgical patients are provided; and previous case reports of lithium toxicity post-gastric bypass surgery are analyzed. Awareness and education of lithium absorption changes postbariatric surgery is essential for optimal patient care. Close clinical and drug concentration level monitoring is warranted.<\/jats:p>","DOI":"10.9740\/mhc.2022.06.214","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T15:16:31Z","timestamp":1654874191000},"page":"214-218","source":"Crossref","is-referenced-by-count":13,"title":["Lithium toxicity following Roux-en-Y gastric bypass: Mini review and illustrative case"],"prefix":"10.9740","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6196-3543","authenticated-orcid":true,"given":"Shahana","family":"Ayub","sequence":"first","affiliation":[{"name":"1 Psychiatrist, Cornerstone Family Health, Newburgh, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2112-3152","authenticated-orcid":true,"given":"Sundas","family":"Saboor","sequence":"additional","affiliation":[{"name":"2 Physician, Khyber Medical College, Peshawar, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2151-5874","authenticated-orcid":true,"given":"Sadia","family":"Usmani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8384-2144","authenticated-orcid":true,"given":"Sana","family":"Javed","sequence":"additional","affiliation":[{"name":"4 Physician, Nishtar Medical University, Multan, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2981-4484","authenticated-orcid":true,"given":"Gauvain Kankeu","family":"Tonpouwo","sequence":"additional","affiliation":[{"name":"5 Physician, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9483-2355","authenticated-orcid":true,"given":"Saeed","family":"Ahmed","sequence":"additional","affiliation":[{"name":"6 Addiction Psychiatrist, Rutland Regional Medical Center, Rutland, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4719","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"key":"2022061015151314600_i2168-9709-12-3-214-b01","doi-asserted-by":"crossref","unstructured":"Reilly-Harrington\n              NA,\n            \n            \n              Feig\n              EH,\n            \n            \n              Huffman\n              JC.\n            \n          \n          Bipolar disorder and obesity: contributing factors, impact on clinical course, and the role of bariatric surgery.\n\t\t\t\t\tCurr Obes Rep.\n\t\t\t\t\t2018;\n\t\t\t\t\t7(4):\n\t\t\t\t\t294-\n\t\t\t\t\t300.\n\t\t\t\t\tDOI: 10.1007\/s13679-018-0322-y. 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