lithium-induced nephrogenic diabetes insipidus
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: stable patients with a mood disorder treated with lithium men and women age >= 18 years
Exclusion criteria
Exclusion criteria: general contra-indications for participation in a trial: inability to give informed consent pregnancy unstable psychiatric condition;alternative causes of (nephrogenic) diabetes insipidus: hypo/hyperkalemia (plasma potassium 5.5 mmol/l) severe hypercalcemia (albumin-corrected plasma calcium > 2.80 mmol/l) hyperglycemia (plasma glucose > 10.0 mmol/l) history of amyloidosis, Sjögren*s syndrome or Sickle cell anemia previous treatment with ifosfamide established primary polydipsia or central diabetes insipidus;contra-indications for dDAVP administration: inability to comply with water restriction renal insufficiency (GFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximal urinary osmolality after intranasal administration of dDAVP. | — |
Secondary
| Measure | Time frame |
|---|---|
| Relation of the dDAVP test results with complaints (micturition history) and clinical parameters (duration of lithium therapy, plasma lithium concentration, baseline plasma creatinine, sodium and potassium concentration and baseline urinary osmolality). | — |
Countries
Netherlands