The Guide to
Lithium Orotate

This guide is for educational purposes only and does not replace personalized medical advice from a licensed healthcare professional. These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.

The Element

What Is Lithium?

Lithium is a naturally occurring element

  • Groundwater and mineral springs
  • Soil
  • Certain vegetables and grains

On its own, pure elemental lithium is too reactive to be practical. It must be stabilized before it can be safely manufactured, stored, and consumed, so lithium is usually paired with another molecule to form a stable compound called a lithium salt.

The molecule that lithium bonds with determines the salt's stability, how easily the body absorbs it, and how much elemental lithium is delivered per dose, which all ultimately determine its intended use.

Common examples include:

  • Lithium orotate (lithium + orotic acid), used in low-dose dietary supplements
  • Lithium carbonate (lithium + carbonate), the most common prescription medication for bipolar disorder and mood management
  • Lithium hydroxide (lithium + hydroxide), widely used in battery manufacturing, ceramics, and industrial lubricants
Ingredient Education

What Is Lithium Orotate?

Lithium orotate is one of those salts. It combines lithium with orotic acid and acts as a delivery form for very small amounts of lithium.

Litihum orotate is stable and bioavailable, leading to it's use in dietary supplements.

Forms of lithium orotate

Lithium is naturally present in trace amounts in the environment and food sources.

Prescription vs Supplement

Isn't Lithium a Prescription Medication?

Sometimes. Certain forms of lithium are used as prescription medications, most commonly lithium carbonate and lithium citrate.

However, prescription lithium is used at much higher doses and is managed under medical supervision. People taking prescription lithium carbonate/citrate need regular blood level monitoring, along with kidney and thyroid testing.

Lithium orotate is different. It is used as a dietary supplement and provides much smaller amounts of elemental lithium than prescription lithium products.

Lithium orotate is not equivalent to prescription lithium and should not be used as a replacement for medical treatment.

Prescription vs supplement
Dosage Explained

How Much Lithium Is in Mentaid?

Mentaid contains 5mg of lithium orotate.

Lithium orotate is not 100% lithium. Because lithium orotate is a compound made from lithium and orotic acid, only a small portion of the total weight (milligrams) comes from elemental lithium.

Lithium orotate is approximately 3.8–4% elemental lithium by weight.

That means 5mg of lithium orotate provides about 0.2mg or 200 micrograms of elemental lithium.

Lithium levels in water supplies from global studies
Side Effects

Possible Side Effects of Lithium Orotate

Lithium orotate is generally considered safe.

A peer-reviewed toxicology study found it has been "marketed for decades as a supplemental source of lithium with few recorded adverse events." 2

Another peer reviewed source notes " there are no reported cases of death or serious side effects in more than 40 years of lithium orotate use in Europe and the U.S." 3

Another source notes "dverse effects have not been reported for low doses (lithium orotate 5 to 20 mg)." 4

For completeness, below are common side effects of prescription lithium (however again, lithium orotate is NOT a subsitute for prescription), where lithium carbonate and citrate are used at doses many times higher than any supplement. 5 They have not been documented at low supplemental doses.

  • Nausea or other gastrointestinal discomfort
  • Increased thirst
  • Headache
  • Light dizziness
  • Tremor

A note on dosage. Side effects are dose-dependent, meaning they become more likely as the dose increases. 5

  • Most lithium orotate supplements are used in very low doses.
  • Mentaid is formulated at an even more conservative dose that most other lithium orotate supplements. Most lithium orotate supplements on the market provide 5mg of elemental lithium, which requires around 120mg of the lithium orotate compound to deliver. 6 Mentaid contains 5mg of lithium orotate itself, providing approximately 0.2mg of elemental lithium, meaningfully smaller amount by design. 7
Lithium orotate side effects
Timing

When Should You Take Lithium Orotate?

Lithium orotate typically doesn't typically cause sedation or increased alertness, so for many people, there is no single best time of day that applies to everyone and the most important factor is simply taking it consistently.

Individual responses vary. If it seems to make you feel tired, taking it in the evening may make more sense. If it seems to make you feel more alert, taking it in the morning may be better.

Other Considerations

Other Things to Consider

Lithium is processed by the kidneys, and overall hydration and kidney health can influence how the body handles it.

Use caution and consult a healthcare professional before use if you:

  • Have kidney disease or reduced kidney function
  • Have thyroid disease or reduced thyroid function
  • Take medications that affect kidney function or fluid balance
  • Are already taking a lithium product
  • Are pregnant or breastfeeding
Things to consider before using lithium orotate
Learn More

More on Lithium Orotate

ResearchHow does lithium work in the brain? StrategySupplement stacking vs single-source supplements

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