Lithium Generic

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Lithium Carbonate Extended Release (ER)
    Generic for Lithobid
    30 extended release tablets $6 USD
    Save $9.00
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Do you need a prescription for lithium?

Yes, lithium is only available with a valid physician Rx.

How much is lithium without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase lithium, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for lithium in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a lithium savings card?

Yes. Save up to 90% on your lithium with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a lithium coupon provider in the US?

No. Now Patient does not provide lithium coupons or FREE lithium samples.

Do you accept commercial, Medicare or Medicaid coverage for lithium in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much lithium?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using lithium. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much lithium. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

US brand name of lithium and manufacturer

Lithium carbonate and lithium citrate are available in the US under various brand names, including Lithobid, Eskalith, and Lithonate. It is manufactured by various pharmaceutical companies, including Noven Pharmaceuticals, Inc. and Mylan Pharmaceuticals Inc.

UK brand name of lithium and manufacturer

Lithium is available in the UK under the brand name Priadel, and it is manufactured by Essential Pharmaceuticals Limited.

Prescription requirement for lithium

Lithium is a prescription medication in both the US and the UK. It requires a prescription (Rx) from a healthcare provider.

FDA approval of lithium

Lithium has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of bipolar disorder, specifically for the acute treatment of manic episodes and as a maintenance treatment for individuals with bipolar disorder.

Is lithium available in the UK on NHS?

Lithium is available in the UK with a National Health Service (NHS) prescription. It is commonly prescribed for the treatment of bipolar disorder.

Mechanism of action

Exactly how lithium works for the treatment of bipolar disorder is not fully understood. It is thought to modulate neurotransmitter activity in the brain, particularly affecting the balance of certain chemicals such as serotonin and norepinephrine. This helps stabilize mood and reduce the frequency and severity of manic and depressive episodes. Lithium is not classed as an antipsychotic medicine.

Uses of lithium

Lithium is primarily used for the treatment of bipolar disorder, a mental illness characterized by mood swings that range from manic episodes (elevated mood, increased energy) to depressive episodes (low mood, decreased energy). It is used to stabilize mood and prevent or reduce the intensity of manic and depressive episodes.

Dosage of lithium

The dosage of lithium will vary depending on the individual’s condition, response to the medication, and blood lithium levels. It is important to follow the dosage instructions provided by your healthcare provider. The medication is typically taken orally in tablet or capsule form.

Forms of lithium

Lithium is available in various oral forms, including tablets and capsules, for administration. Store the medicine at room temperature, away from heat, moisture, and direct light. Also, keep out of the reach of children and pets.

Precautions and warnings for lithium

  • Lithium requires close monitoring of blood lithium levels to ensure the medication is within the therapeutic range. Regular blood tests may be necessary
  • It is important to maintain a consistent level of sodium intake and hydration while taking lithium, as changes in sodium levels can affect lithium levels in the body
  • Lithium may interact with certain medications and substances, including diuretics, nonsteroidal anti-inflammatory drugs (NSAIDs), and alcohol. Inform your healthcare provider about all the medications you are taking
  • Discuss with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding before using lithium. The use of lithium during pregnancy or breastfeeding should be carefully evaluated, as it may carry certain risks
  • Tell your doctor if you have ever had breathing problems, Brugada syndrome (a heart condition), kidney disease (the amount of lithium removed by the body may be reduced if you have kidney disease), any thyroid disorders, an abnormal electrocardiograph or ECG, or if you have low sodium or potassium levels, before starting lithium treatment
  • Be careful not to become overheated or dehydrated during hot weather. Speak to your doctor for advice about the liquids you should drink

Side effects of lithium

Common side effects of lithium may include increased thirst, dry mouth, muscle weakness, increased urination, weight gain, hand tremors, and gastrointestinal symptoms. These may be symptoms of lithium toxicity. It is important to report any persistent or serious side effects to your healthcare provider.

Interactions with other drugs

Lithium may interact with certain medications, including diuretics, NSAIDs, anticonvulsants such as carbamazepine, and MAO inhibitors. It is important to inform your healthcare provider or pharmacist about all the medications you are taking, including prescription drugs, vitamins, and herbal supplements, to avoid any potential interactions.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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