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Lithium may cause arrhythmias, or irregular heartbeat, throughout the course of therapy. If the patient experiences heart palpitations or uneven heart beat, he should seek medical care right away.
--Ammonium salts have a hypothetical risk of ammonia toxicity. In addition to calcium levels, ammonia and phosphate levels should be monitored. --Potassium salts have a hypothetical risk of hyperkalemia which can cause cardiac arrhythmia.