Drug General Information (ID: DDI7A0EP8Q)
  Drug Name Bumetanide Drug Info Lithium carbonate Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Diuretics Antimanic Agents
  Structure

 Mechanism of Bumetanide-Lithium carbonate Interaction (Severity Level: Major)
     Decreased renal excretion (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Bumetanide Lithium carbonate
      Mechanism Reduces renal excretion of lithium Lithium salt
      Key Mechanism Factor 1
Factor Name Pharmacokinetics
Factor Description Alters the excretion of the drug, resulting in changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Decreased renal excretion of Lithium carbonate caused by Bumetanide 

Recommended Action
      Management Loop diuretics should generally not be prescribed to patients receiving lithium unless close monitoring of serum lithium levels and electrolytes can be rendered. Lithium dose reductions may be required. Patients should be advised to notify their physician if they experience potential signs and symptoms of lithium toxicity such as drowsiness, dizziness, muscle weakness, vomiting, diarrhea, thirst, polyuria, tinnitus, tremor, ataxia, and blurred vision.

References
1 Bennett WM "Drug interactions and consequences of sodium restriction." Am J Clin Nutr 65 (1997): S678-81. [PMID: 9022564]
2 Finley PR, Warner MD, Peabody CA "Clinical relevance of drug interactions with lithium." Clin Pharmacokinet 29 (1995): 172-91.[PMID: 8521679]
3 MacNeil S, Hanson-Nortey E, Paschalis C, et al "Diuretics during lithium therapy." Lancet 06/07/75 (1975): 1295-6.[PMID: 48922]