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Lithium level

Also called: Serum lithium

A lithium level checks that your lithium dose is in the safe, effective range.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsOften the same day
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

The safe range is narrow. Kidney and thyroid tests are usually checked too.

Why it's done

  • Starting or changing lithium
  • Regular monitoring
  • Signs of toxicity, illness, or dehydration

Getting ready and what happens

  • Draw the sample about 12 hours after your last dose (usually before the morning dose).

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

ResultTypical range for adults
Usual targetAbout 0.6 to 1.0 mEq/L for maintenance (your provider sets your target)

Normal ranges vary from lab to lab and can differ by age, sex, and pregnancy. Your report lists your lab's own range next to each result. A result a little outside the range is often not a problem.

High

Raises the risk of toxicity. Dehydration, NSAIDs, and some blood pressure medicines can raise it.

When a result needs quick action

Call 911Vomiting, diarrhea, severe shakiness, confusion, or trouble walking while on lithium

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.