“…Preclinical and clinical studies have demonstrated that lithium modifies serotonergic neurotransmission and increases extracellular serotonin (5-hydroxytryptamine; 5-HT) levels in the brain through several mechanisms, such as increased 5-HT synthesis, increased 5-HT turnover, and increased 5-HT release from nerve endings (Eroglu and Hizal, 1987;Kitaichi et al, 2004Kitaichi et al, , 2006Muraki et al, 2001;Price et al, 1990;Wegener et al, 2003). Preclinically, the combinations of lithium with selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors have been reported to increase the effects of these antidepressants on extracellular 5-HT concentrations and on anxiety-like behaviors in the contextual fear conditioning test (Kitaichi et al, 2006;Muraki et al, 1999;Muraki et al, 2001).…”