I just want to make it clear that lithium orotate is different from lithium carbonate. They are used for slightly different reasons, in different doses, and low-dose lithium orotate is available OTC whereas high-dose lithium carbonate is Rx. Lithium orotate is often sold as a "dietary supplement". Trace amounts of lithium are present in all organisms, but it apparently does not serve a vital biological function, since we can survive without it; however, nonvital functions have not been ruled out. We normally get lithium from vegetables/plants and from drinking water. Long-term use of high-dose lithium carbonate or citrate (for example for bipolar) has been associated with health complications and should be considered as a last resort treatment. Low-dose lithium orotate supplementation is considered to be much safer (when taken in recommended doses). The therapeutic amounts of lithium carbonate (not orotate) used are only slightly lower than toxic amounts, so with lithium carbonate the concentration of lithium in the blood is carefully monitored during treatment. A lithium overdose can be serious. One study in rats did find that lithium orotate gave higher blood levels of lithium dose per dose than lithium carbonate, but other studies have been unclear or contradictory. It is suggested by some than even people taking lithium orotate may want to drink extra fluids (as lithium can be dehydrating) and monitor their thyroid function, since high-dose lithium carbonate has been linked with abnormal kidney and thyroid function. I am only aware of one reported overdose on lithium orotate, which was in a person taking a far higher dose than the recommended amount (she took 18 pills in one dose) and her only complaints were nausea and mild tremors
[source].
I am not aware of any studies using lithium orotate as a treatment for benzodiazepine dependence, but there was one study that concluded it was helpful in alcoholism
[source]. I have heard a few anecdotal reports of people finding it helpful with SSRI withdrawal and benzodiazepine withdrawal. One person even said their doctor had suggested lithium orotate to help with their benzo taper.
Lithium is distributed in the CNS and interacts with a number of neurotransmitters and receptors, for example decreasing norepinephrine and increasing serotonin. Although lithium is best-known as a treatment for bipolar, it is prescribed by doctors for a number of other disorders, including depression, certain types of psychosis, ALS and other neurodegenerative diseases, cluster headaches, and more. Some doctors, as well as many "alternative" health care practitioners, prescribe lithium orotate for an even broader range of conditions. In a study in Japan, intake of lithium through drinking water was found to be correlated with an increased life span
[source]. Lithium treatment is well-known to decrease suicidal ideation and suicide, but even low-dose lithium intake in the normal population has been correlated with decreased suicide: Another Japanese study found reduced suicide rates in people who had higher levels of lithium in their water
[source], as did a study in Texas
[source]. It has been suggested that lithium may increase normal function in people who have a mis-set/disrupted internal clock
[source]. It also increases inositol levels
[source] and low inositol has been linked to poor memory and depression.
Geaux Tigers! said:
Lithium orotate is inefficient in metabolism comparatively to lithium carbonate. There is a reason why carbonate is used in professional medical practice.
Really? I thought it was the other way around, that there were fears that lithium orotate might be
more effecient in metabolism (the studies on metabolism are unclear) and that there just isn't nearly as much research on lithium orotate as there is on lithium carbonate or citrate, so no reason to start replacing lithium carbonate/citrate with orotate. However, lithium orotate actually
is used by some medical professionals (doctors, psychiatrists, naturopaths), often in lower doses and as a treatment for the same things lithium carbonate/citrate are used for and also for a number of other purposes.
I would suggest that if you want to take lithium orotate it would be best to take it under the advice of a psychiatrist or health care practitioner knowledgable in its use. It has not undergone any controlled human trials but it is widely available and there have not been any widespread reports of serious side effects with normal use.
Sorry this is so long and hope it was helpful
