Our Members Asked:
Are lithium orotate supplements as effective and safe as prescription lithium for bipolar disease and depression?

Answer:
It's not known if lithium orotate is as effective for bipolar disease as lithium carbonate and lithium citrate (which are both FDA-approved drugs) and there is preliminary evidence that it is not as safe at the high doses of lithium used to treat bipolar disease. However, very low-dose lithium may have behavioral and cognitive benefits. For more details, see the full answer >>
NOTE: ConsumerLab.com has now tested low-dose lithium supplements, analyzing them for their amounts of lithium as well as for contamination with heavy metals (lead, arsenic, and cadmium). See the Low-Dose Lithium Supplements Review, which includes the clinical evidence for lithium, safety and side effects, and our Top Picks among products tested.
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James20380
August 14, 2024I'm taking low dose and my mood has definitely improved.
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JARKKO7863
May 13, 2018I forgot to mention: Large capsules are USUALLY easier to open than small capsules, if one wants to split the dose in several days.
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JARKKO7862
May 13, 2018* Capsules of this product are almost impossible to remove from container: Life Extension® Memory Protect (0.3 mg per capsule; 1 capsule per day).
https://www.consumerlab.com/reviews/lithium-low-dose-supplements/lithium/
* "It would not be difficult to twist open a 5 mg capsule, pour out a portion of contents (such as half, if you want a 2.5 mg dose) and re-close the capsule".
Some capsules are easy to open, some are extremely tight and require a lot of time and strength to open. You should test this!
* Please test this low-dose lithium product:
Trace Minerals Research, ConcenTrace, Trace Mineral Drops, 8 fl oz (237 ml).
Serving Size: 1/2 tsp (about 40 drops)
Lithium 1.5 mg.
Of course one can take for example 10 drops a day or 10 drops per each liter of water or other drink.
The dosing is a bit inaccurate, as it is impossible to measure exact amount of drops from this bottle, especially after using the bottle for some time.
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Denise7860
December 11, 2016What about liquid lithium citrate? I have an 8 year old pt with ADHD, biopolar, and autoimmune encephalitis on 2 g lithium citrate drops from Pure Encapsulations....
Lithium citrate is discussed above.
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Robert7859
December 11, 2016Lithium carbonate is apparently not available without a prescription or in low doses. Given the downside of lithium orotate, I wonder if low-dose lithium chloride would be a safer alternative to use as a nutritional supplement.
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Robert7857
December 08, 2016I take a 1/4 mg (barely covers the tip of a table knife) of lithium orotate every other day. I find it adds a positive edge to the day (like 1-3%, not even high enough to get into placebo effect range:). I tried a whole capsule (KAL Lithium Orotate 5mg) when first got bought it and that made my brain feel like it was turning to cardboard. So I broke the capsules open and take about a 1/10 of what is in one capsule. I became interested in the lithium when I read several studies that show communities that have lithium in their water have 1/2 the suicide rates of communities that do not. And your brain does need trace amounts to function. In my case less is more......
Richard7858
December 10, 2021I take a 1 mg lithium cap from Life Extension. Had a slight "dumb down" effect at first...now not noticeable. Think it sort of calms things down a bit. Originally tried a 5 mg cap...but this was too much. I'm taking this based on the available research.
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Virginia7851
December 07, 2016I have been using Lithium Orotate for over ten years to manage my bipolar condition. It works very well, without the unpleasant side effects of Litihium Carbonate.
I have tried going off it and my symptoms return. I know that isn't a scientific proof, but since the drug can't be patented, nobody wants to do the appropriate trials.
All the other bipolar drugs have unpleasant and/or dangerous side effects. I tried many of them before I found LiOr.
Of course, anything taken in large quantities produces problems.
Robert7852
December 11, 2016It could be patented in different formulations. Lithium Carbonate was.
JARKKO7853
May 13, 2018What dose and brand have you been using for 10 years?
What blood tests have you used to verify no side-effects?
Virginia7855
April 12, 2023My current prescriber gave me a blood test when I first started seeing her and it showed no lithium in my system!
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Kevin7850
December 07, 2016The source got me started taking low dose Lithium is this New York Times article - http://www.nytimes.com/2014/09/14/opinion/sunday/should-we-all-take-a-bit-of-lithium.html?_r=0
The author claims numerous studies that suggest low dose Lithium supplementation could be beneficial based on positive correlations between amounts of Lithium and physical and behavioral health outcomes. The distinction between orotate or carbonate versions is not discussed.
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Rob T
December 07, 2016Castillo-Quan JI, Li L, Kinghorn KJ, et al. Lithium Promotes Longevity through GSK3/NRF2-Dependent Hormesis. Cell Rep. 2016;15(3):638-50.
https://www.ncbi.nlm.nih.gov/pubmed/22746245
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4659557/
http://www.psychiatrictimes.com/bipolar-disorder/lithium-neuroprotective-effects/page/0/3
http://alzdiscovery.org/cognitive-vitality/ratings/lithium-dietary
https://www.gwern.net/docs/lithium/2014-mauer.pdf
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Brett7847
December 07, 2016Functional & Integrative mental health practitioners have been recommending supplementation with lithium orotate for a variety of mental health conditions. There is much evidence, in fact, to suggest that low doses of lithium (such as that obtained via lithium orotate or other formulations of lithium) can be beneficial to mental wellness. It is very true, however, that lithium can be toxic under certain conditions and supplementation should be monitored by an integrative mental health practitioner qualified to do so. In the mean time, for a more comprehensive and balanced review of low-dose lithium as a supplement, I recommend a fantastic resource that I just finished reading: "Nutritional Lithium: A Cinderella Story" by James Greenblatt, MD & Kayla Grossmann, RN - Brett Howard
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Brian7846
December 07, 2016Lithium orotate gets GREAT reviews in every place that I research it. Perhaps the research community should take a second look?
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