A Significant Decline of Glomerular Filtration Rate in the Majority of Long‐Term Lithium Users: Results of a Dutch Prospective 10‐Year Cohort Study

This study provides further evidence that eGFR decline occurs in most long-term lithium users. Of this cohort, 59% of the participants had faster eGFR decline than the mean decline in the general population. Lithium exposure, quantified as mean serum lithium concentration, could be a contributing factor in this decline. eGFR trajectory was not altered by ceasing lithium.

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Publication Details

Journal
Bipolar Disorders
Published
2026-02-17
DOI
https://doi.org/10.1111/bdi.70082
Primary Topic
Bipolar Disorder and Treatment
Type
article
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article

A Significant Decline of Glomerular Filtration Rate in the Majority of Long‐Term Lithium Users: Results of a Dutch Prospective 10‐Year Cohort Study

Joan Doornebal, Tom Nijenhuis, Debbie Zittema, M. J. van der Aa et al.
Bipolar Disorders
Bipolar Disorder and Treatment
article

A Significant Decline of Glomerular Filtration Rate in the Majority of Long‐Term Lithium Users: Results of a Dutch Prospective 10‐Year Cohort Study

Joan Doornebal, Tom Nijenhuis, Debbie Zittema, M. J. van der Aa, E. M. Bisseling, R. W. Kupka, E. G. T. M. Hartong, U. M. H. Klumpers, J. Dammers, A. P. M. Kerckhoffs
article en

Abstract

This study provides further evidence that eGFR decline occurs in most long-term lithium users. Of this cohort, 59% of the participants had faster eGFR decline than the mean decline in the general population. Lithium exposure, quantified as mean serum lithium concentration, could be a contributing factor in this decline. eGFR trajectory was not altered by ceasing lithium.

Bipolar DisordersVol. 28(2)
Radboud University Nijmegen (NL), Radboud University Medical Center (NL), Amsterdam Neuroscience (NL), Radboud Institute for Molecular Life Sciences (NL), Canisius-Wilhelmina Ziekenhuis (NL), GGZ inGeest (NL), Isala (NL), Public Health Service of Amsterdam (NL), Amsterdam University Medical Centers (NL), Jeroen Bosch Ziekenhuis (NL), Vrije Universiteit Amsterdam (NL)
Reduced inequalities
Openalex Percentile: Top 56%
Bipolar Disorder and Treatment
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A Significant Decline of Glomerular Filtration Rate in the Majority of Long‐Term Lithium Users: Results of a Dutch Prospective 10‐Year Cohort Study — Joan Doornebal, Tom Nijenhuis, et al. · Bipolar Disorders (2026) | TGRS Research Map | TGRS