Lithium treatment causes long-term adverse effects on kidney function.
Evidence consistently shows that long-term lithium treatment is associated with adverse effects on renal function, including reduced eGFR and a risk of chronic tubulointerstitial kidney injury.
The retrieved literature (such as papers 1, 3, and 11) thoroughly supports the claim that long-term lithium treatment leads to adverse effects on kidney function, specifically chronic kidney disease and declines in eGFR over extended periods. There are no papers refuting this well-established pharmacological side effect.
Krishnan N, Perazella MA. Diagnosis and Management of Acute and Chronic Lithium-Associated Nephrotoxicity.. 2026. https://doi.org/10.1681/asn.0000001172
Indicates that chronic lithium use is associated with a tubulointerstitial pattern of kidney injury and chronic kidney disease after a latency period.
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Macaron MM, Abou Rjeily M, Macaron R, Yehia A, Singh B, Frye MA, Abulseoud OA. Lithium nephrotoxicity: a systematic review and meta-analysis of lithium versus non-lithium control studies in patients with affective disorders.. 2026. https://doi.org/10.1177/20451253261419633
Demonstrates through meta-analysis that patients taking lithium exhibit less favorable eGFR outcomes compared to non-lithium control groups.
Grof P. Could Lithium Be Preserved for the Stabilization of Bipolar Patients?. 2026. https://doi.org/10.3390/ph19040527
Acknowledges that glomerular filtration rate decline is a notable adverse effect of continuous, long-term lithium administration.
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