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Lithium vs. Abilify

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Lithium (Lithobid) and aripiprazole (Abilify) are both used to treat bipolar disorder, but they belong to different medication classes and work in different ways. Lithium is a mood stabilizer that helps manage manic episodes and long-term maintenance of bipolar disorder. It is available in generic form and can be taken as pills or liquid, usually 2 to 3 times a day. Aripiprazole, on the other hand, is an atypical antipsychotic that balances chemicals in the brain to control thoughts, mood, and behaviors. It is also available in generic form and is typically taken once a day. While lithium requires regular blood tests to monitor for toxicity and kidney health, aripiprazole can cause side effects like movement problems and high blood sugar. Both medications can cause drowsiness, but aripiprazole is less likely to cause weight gain compared to other antipsychotics. Additionally, aripiprazole is used to treat other conditions like schizophrenia and Tourette syndrome, whereas lithium is specifically for bipolar disorder.

Lithium

 

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Aripiprazole

(Abilify)

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Summary for Lithium

Prescription only

Lithium carbonate (or lithium) is a medication used to treat bipolar disorder and manic episodes. It's taken by mouth, typically 2 to 3 times a day. Lithium is available as instant-release pills and oral liquid as well as an extended-release tablet (brand name Lithobid). All lithium products are available as lower-cost generics. Lithium works well for treating bipolar disorder, but it can also cause side effects, such as shakiness, thirst, and nausea. To prevent lithium toxicity, your provider will check your blood lithium levels to make sure you're on a safe dose of the medication.

Indications for Lithium

  • Treatment of manic episodes of bipolar disorder
  • Long-term maintenance treatment of bipolar disorder

Pros and Cons for Lithium

Pros

  • Works well for bipolar disorder
  • Starts to work in about 1 to 3 weeks
  • Available as a lower-cost generic
  • Available as oral pills and oral liquid for those having trouble swallowing pills

Cons

Common Side Effects for Lithium

Adults:

  • Hand trembling
  • Excessive urination
  • More thirst
  • Nausea
  • General discomfort when you start treatment

Children (7 to 17 years of age):

  • Nausea or vomiting (57%)
  • Urinating more often (38%)
  • Tremor (32%)
  • Feeling more thirsty (28%)
  • Tiredness (26%)
  • Higher thyroid hormone levels (25%)
  • Dizziness (23%)

Warnings for Lithium

  • Lithium toxicity
  • Kidney problems
  • Serotonin syndrome
  • Thyroid problems
  • Heart problems (Brugada syndrome)
  • Low blood sodium levels
  • High blood calcium levels and high parathyroid hormone levels
  • Brain-related side effects

Summary for Abilify

Prescription only

Aripiprazole (Abilify) is an atypical antipsychotic used to treat different mental health conditions, such as schizophrenia and bipolar I disorder. It works by balancing certain chemicals in the brain to help control thoughts, mood, and behaviors. It's available in many dosage forms, including an oral tablet, solution, and an orally disintegrating tablet (ODT) that can be used in adults and children as young as 6 years old for certain conditions. Common side effects include headache, movement problems, and sleep problems.

Indications for Abilify

Pros and Cons for Abilify

Pros

Cons

  • Can make you feel restless
  • Risk of movement problems that can be permanent
  • Can raise blood sugar and cholesterol
  • Can take several weeks to see the full effects

Common Side Effects for Abilify

  • Headache (27%)
  • Agitation (19%)
  • Trouble sleeping (18%)
  • Anxiety (17%)
  • Nausea (15%)
  • Vomiting (11%)
  • Constipation (11%)
  • Dizziness (10%)
  • Trouble staying still (10%)

Note: Side effects were reported by adults who took aripiprazole in clinical studies for schizophrenia and bipolar disorder.

Warnings for Abilify

  • Higher risk of death in older adults with dementia-related psychosis
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Difficulty controlling movements
  • Changes in blood pressure and higher risk of falls
  • Risk of infection (from low white blood cell count)
  • Difficulty concentrating and extreme sleepiness
  • Seizures
  • Impulse-control problems

Prices with our coupons for Lithium vs. Abilify

Price Card Drug Icon
Lithium150 ml / 8meq/5ml
$30.82$145.74
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Aripiprazole30 tablets / 5mg
$10.64$231.08
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