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Monitoring lithium treatment: evaluation of current management

St Charles Hospital, London

Ann Elaine Arnold, Consultant Old Age Psychiatrist^* and Peter Frost, Consultant in Chemical Pathology

Park Royal Centre for Mental Health, Central Middlesex Hospital, Acton Lane, London NW10 7NS

^* Correspondence

Aims and method A postal survey of 81 general practitioners (GPs) who were involved in lithium monitoring was undertaken, to compare their views on lithium therapy with their monitoring practice, and with the practice of psychiatrists.

Results Forty-seven replied (response rate 50.6%). There was considerable variation in GP knowledge of lithium therapy. GPs made fewer requests but wanted more information.

Clinical implications Written reminders and information on lithium would be useful to GPs.