Conversation: The conversation between human and AI assistant.
[|Human|] I am a 58 year old white male. My BUN is 18. My Creatinine is 1.5. My GFR is 48. I have been told this means I have renal insufficiency. According to the WebMD article you cannot regain kidney function that you have lost. I am currently taking  600mg Lithium Carbonate. I went down from 900mg. After I did this my nephrologist told me it was cured. Now he has retired and I do not know if I should ask my psychiatrist to discontinue the lithium altogether and increase my Depakote. What do you think?
[|AI|]  Hithanks for using Chat Doctor I think there need to shift to other mood stabilizer. In renal failure, lithium dose is decreased which has already done in your case. If you are maintaining well on same dose, then keep taking it. Just regular get your serum lithium done. Level should less than 1.0 MML Li/l, It would decrease the chances of lithium intoxication. Rest u can discuss with your psychiatrist. Thanks