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Table 1 Changes in the lithium prescription rate in several European countries over the last two decades

From: Overview of lithium's use: a nationwide survey

Study

Country

Period

Data source

Results

Bohlken et al. 2020

Germany

2009–2018

Neuropsychiatric private practices' records

The percentage of patients with bipolar disorder receiving lithium declined from 31,4% (2009) to 26,2% (2018)

Rhee et al. 2020

United States

1997–2000 vs. 2013–2016

Outpatient physician reports of patient visits

The percentage of patients with bipolar disorder receiving lithium declined from 30,4% (1997–2000) to 17,6% (2013–2016)

Lyall et al. 2019

Scotland

2009–2016

Records of outpatient clinic attendance, general/acute hospital admissions and psychiatric hospital admissions

The percentage of patients with bipolar disorder receiving lithium declined from 26% (2009) to 22% (2016)

Renes et al. 2018

Netherlands

2009–2014

Outpatient psychiatrists’ and patients’ surveys

Lithium was used by 70% of patients with bipolar disorder or schizoaffective disorder, bipolar type

Karanti et al. 2016

Sweden

2007–2013

Records of private and public psychiatric outpatient health care units

The percentage of patients with bipolar disorder receiving lithium declined from 51% (2007) to 41% (2013)

Kessing et al. 2016

Denmark

2000–2011

Records of all Danish patients with a first-ever contact with mental healthcare

The one-year prescription rate of lithium in bipolar patients decreasedfrom 41% (2000) to 34% (2011)

Parabiaghi et al. 2015

Italy

2000–2010

A population-based database of dispensing records

The prevalence of lithium treatment grew by 38% duringthe observation period

Hayes et al. 2011

England

1995–2009

Records of primary care patients

The prescriptionrate for lithium increased from 22.5% (1995) to 29.3% (2009)

Castells et al. 2006

Spain

1985–2003

Pharmacy sales data of medicinal products

Lithium daily dose per 1000 inhabitants per day (DID) increased from 0.21 (1985) to 0.79 (2003)