Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Alkalith 450mg Tablet CR should be taken with or after food.

- Alcohol : CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Alkalith 450mg Tablet CR. Please consult your doctor. | - Pregnancy : CONSULT YOUR DOCTOR

Alkalith 450mg Tablet CR is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks. | - Breast feeding : UNSAFE

Alkalith 450mg Tablet CR is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby. | - Driving : UNSAFE

Alkalith 450mg Tablet CR may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur. | - Kidney : CAUTION

Alkalith 450mg Tablet CR should be used with caution in patients with severe kidney disease. Dose adjustment may be needed. | - Liver : SAFE IF PRESCRIBED

Alkalith 450mg Tablet CR is probably safe to use in patients with liver disease. Limited data suggest dose adjustment may not be needed.

If you miss a dose of Alkalith 450mg Tablet CR, skip it and continue with your normal schedule. Do not double the dose.

How quickly does Alkalith 450mg Tablet CR work?::: It takes some time before you see improvement in your symptoms after taking Alkalith 450mg Tablet CR. Though it varies from person to person, it may take 1-3 weeks or longer for you to see the full benefits of Alkalith 450mg Tablet CR. Do not stop taking Alkalith 450mg Tablet CR if you feel you are not improving. Instead, discuss it with your doctor.| Does Alkalith 450mg Tablet CR make you sleepy?::: Yes, Alkalith 450mg Tablet CR can cause nervous system disorders like sleepiness and dizziness and feeling confused. It can also cause rapid eye movements, blurred vision, or blind spots in your eyesight. If you experience any of these symptoms, consult your doctor. In addition, avoid driving or operating heavy machinery as it can be hazardous for you.| Is Alkalith 450mg Tablet CR bad for kidneys?::: Yes, Alkalith 450mg Tablet CR may cause kidney problems. Alkalith 450mg Tablet CR is not prescribed in patients who already have severe kidney impairment. The kidney problems may not be reversible and the symptoms include swollen ankles, passing a lot of urine and feeling thirsty. Before starting treatment with Alkalith 450mg Tablet CR, your doctor will get blood tests done to see if your kidney function is normal. During Alkalith 450mg Tablet CR therapy, any gradual or sudden changes in renal function, even within the normal range, may indicate the need for re-evaluation of treatment.| Can Alkalith 450mg Tablet CR cause gain in weight?::: Alkalith 450mg Tablet CR can cause both weight gain or weight loss. You should keep a check on your weight during Alkalith 450mg Tablet CR therapy. If you feel you are gaining or losing too much weight, consult your doctor who will assess whether the change in weight is due to Alkalith 450mg Tablet CR or some other reason.| What is the most important information I should know about Alkalith 450mg Tablet CR?::: Alkalith 450mg Tablet CR therapy should only be started if adequate facilities for assessing Alkalith 450mg Tablet CR levels are available. This is because Alkalith 450mg Tablet CR toxicity is related to increased levels of Alkalith 450mg Tablet CR in blood. Alkalith 450mg Tablet CR toxicity can even occur at dose which is effective for treatment. Therefore, your doctor may closely monitor your Alkalith 450mg Tablet CR levels weekly until stabilization is achieved, then weekly for one month and then at monthly intervals thereafter.| How should Alkalith 450mg Tablet CR be taken?::: Take Alkalith 450mg Tablet CR exactly as prescribed by your doctor. Check with your doctor if you are not sure. It is meant for oral administration and can be taken with or without food. However, if you start following a certain type of diet, talk to your doctor first. Any drastic changes in the amount of water you drink or amount of sodium (salt) in your diet may require more frequent monitoring of Alkalith 450mg Tablet CR levels.| Which medicines decrease Alkalith 450mg Tablet CR levels?::: You should inform your doctor about the medicines you are taking before starting Alkalith 450mg Tablet CR since many medicines interfere with the working of Alkalith 450mg Tablet CR. Some medicines decrease the levels of Alkalith 450mg Tablet CR in blood which means that it will not work well. These include theophylline (for asthma), caffeine, anything containing sodium bicarbonate, or a special group of diuretics (water tablets) called carbonic anhydrase inhibitors and urea used to treat skin conditions.| How quickly does Alkalith 450mg Tablet CR work?::: It takes some time before you see improvement in your symptoms after taking Alkalith 450mg Tablet CR. Though it varies from person to person, it may take 1-3 weeks or longer for you to see the full benefits of Alkalith 450mg Tablet CR. Do not stop taking Alkalith 450mg Tablet CR if you feel you are not improving. Instead, discuss it with your doctor.| Does Alkalith 450mg Tablet CR make you sleepy?::: Yes, Alkalith 450mg Tablet CR can cause nervous system disorders like sleepiness and dizziness and feeling confused. It can also cause rapid eye movements, blurred vision, or blind spots in your eyesight. If you experience any of these symptoms, consult your doctor. In addition, avoid driving or operating heavy machinery as it can be hazardous for you.| Is Alkalith 450mg Tablet CR bad for kidneys?::: Yes, Alkalith 450mg Tablet CR may cause kidney problems. Alkalith 450mg Tablet CR is not prescribed in patients who already have severe kidney impairment. The kidney problems may not be reversible and the symptoms include swollen ankles, passing a lot of urine and feeling thirsty. Before starting treatment with Alkalith 450mg Tablet CR, your doctor will get blood tests done to see if your kidney function is normal. During Alkalith 450mg Tablet CR therapy, any gradual or sudden changes in renal function, even within the normal range, may indicate the need for re-evaluation of treatment.| Can Alkalith 450mg Tablet CR cause gain in weight?::: Alkalith 450mg Tablet CR can cause both weight gain or weight loss. You should keep a check on your weight during Alkalith 450mg Tablet CR therapy. If you feel you are gaining or losing too much weight, consult your doctor who will assess whether the change in weight is due to Alkalith 450mg Tablet CR or some other reason.| What is the most important information I should know about Alkalith 450mg Tablet CR?::: Alkalith 450mg Tablet CR therapy should only be started if adequate facilities for assessing Alkalith 450mg Tablet CR levels are available. This is because Alkalith 450mg Tablet CR toxicity is related to increased levels of Alkalith 450mg Tablet CR in blood. Alkalith 450mg Tablet CR toxicity can even occur at dose which is effective for treatment. Therefore, your doctor may closely monitor your Alkalith 450mg Tablet CR levels weekly until stabilization is achieved, then weekly for one month and then at monthly intervals thereafter.| How should Alkalith 450mg Tablet CR be taken?::: Take Alkalith 450mg Tablet CR exactly as prescribed by your doctor. Check with your doctor if you are not sure. It is meant for oral administration and can be taken with or without food. However, if you start following a certain type of diet, talk to your doctor first. Any drastic changes in the amount of water you drink or amount of sodium (salt) in your diet may require more frequent monitoring of Alkalith 450mg Tablet CR levels.| Which medicines decrease Alkalith 450mg Tablet CR levels?::: You should inform your doctor about the medicines you are taking before starting Alkalith 450mg Tablet CR since many medicines interfere with the working of Alkalith 450mg Tablet CR. Some medicines decrease the levels of Alkalith 450mg Tablet CR in blood which means that it will not work well. These include theophylline (for asthma), caffeine, anything containing sodium bicarbonate, or a special group of diuretics (water tablets) called carbonic anhydrase inhibitors and urea used to treat skin conditions.

Alkalith 450mg Tablet CR works by suppressing the abnormal and excessive activity of the nerve cells in the brain.

-Domperidone (Oral Route): Life-threatening

Do not consume Domperidone with Lithium carbonate. Concomitant use may affect heart rhythm and can be fatal.

| -Thioridazine (Oral Route): Severe

If concurrent use is essential, watch out for symptoms such as double vision, weakness, dizziness, impaired coordination, or confusion and consult your doctor if you experience them. Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their presence. Your doctor may discontinue the medicines if required. Concurrent use may cause serious disturbance in heart rhythm.

| -Amiodarone (Oral Route): Severe

Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their presence. Concurrent use may cause serious disturbance in heart rhythm.

| -Haloperidol (Oral Route): Severe

Careful consideration is advised when taking Haloperidol with Lithium carbonate. If concurrent use is essential, watch out for symptoms such as impaired movements, dizziness or drowsiness and consult your doctor if you experience them. Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their presence. Concurrent use may cause serious disturbance in heart rhythm.

| -Hydroxyzine (Oral Route): Severe

Do not consume Hydroxyzine with Lithium carbonate. Concomitant use may affect heart rhythm and can be fatal.

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