This particular subject has been a problem for me for some time. I work in an inpatient psychiatric unit and many of our nurses tell our pts on LI+ that they should be careful not to drink "too much" water because it will "flush out their medication". I have even had an argument w/a co-worker about this, and it was not pretty. Our former Psych CNS (she's long gone, hospital can't afford such luxuries as qualified resource people) told me that a person would almost have to drink enough h2o to become h2o-intoxicated before they were in any kind of danger of "flushing out" their LI+. I have yet to find a reputable reference that suggests LI+ users curtail their fluid intake. I see just the opposite in references suggesting pts make an effort to get adequate fluid at 8-10 8 oz glasses of fluid/day (h2o if possible). So, help me out, please. Has anyone out their EVER heard that it is dangerous to drink TOO MUCH when you are on LI+. And, if so, please cite your sources. Until I hear a valid argument to the contrary, I will continue to encourage fluid intake in my pts on LI+. ????????? Anyone?