“…Reported effects include alterations of the distribution of cations including Na , as well as subtle changes in neuronal membrane polarization. Lithium also interferes with the production, storage, and release of norepinephrine and dopamine and can increase their reuptake at cerebral nerve terminals, but may increase release of serotonin in forebrain [ 26,142,186,298,306 ] . In addition, lithium exerts complex effects on monoamine receptor functions, usually tending to reduce the functioning of adrenergic and other cerebral mechanisms implicated in mood elevation and behavioral activation, including preventing upregulation and supersensitivity of monoamine receptors in association with their long-term blockade, as well as exerting possible decreases in the sensitivity of excitatory glutamate receptors [ 89,98,261,269,284 ] .…”