Lithium and Methyldopa interaction

Lithium and Methyldopa: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Lithium (Lithium Carbonate) label · effective 2026-06-04

Moderate

Methyldopa, Phenytoin and Carbamazepine Clinical Impact: Concomitant use may increase risk of adverse reactions of these drugs.

Drug interactionsnames MethyldopaView label on DailyMed
Moderate

Intervention: Monitor patients closely for adverse reactions of methyldopa, phenytoin, and carbamazepine.

Drug interactionsnames MethyldopaView label on DailyMed

From the Methyldopa label · effective 2025-03-28

Moderate

When methyldopa and lithium are given concomitantly, the patient should be carefully monitored for symptoms of lithium toxicity.

Drug interactionsnames LithiumView label on DailyMed
Minor

Read the circular for lithium preparations.

Drug interactionsnames LithiumView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.