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MediumPsychiatryLithium toxicityau-amcau-racp

A 35-year-old woman with bipolar disorder type I is stable on lithium. She presents with polyuria, tremor and nausea. Lithium level is 1.6 mmol/L (reference 0.6-1.0). Creatinine is mildly elevated. What is the most appropriate immediate management?

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