Shukla S, Godwin C D, Long L E, Miller M G
Am J Psychiatry. 1984 Dec;141(12):1604-6. doi: 10.1176/ajp.141.12.1604.
Five rapid-cycling manic patients developed neurotoxic syndromes when treated with a combination of lithium and carbamazepine, although all five had therapeutic plasma levels of both drugs. The risk factors for development of neurotoxicity with this drug combination are discussed.