Lithobid precautions What should I know regarding pregnancy, nursing and administering Lithobid to children or the elderly?If you are: Pregnant: Not Recommended Nursing: Absolute Contraindication: USE IS NOT RECOMMENDED. USE MAY RESULT IN LITHIUM TOXICITY. An adult over 60: Precaution: (SOM)RENAL DOSING: MONITOR LEVELS;MORE CNS TOX./GOITER/HYPOTHYROID. Giving Lithobid to a child under 12: Warning: SAFETY AND EFFICACY NOT ESTABLISHED. WEIGH RISK/BENEFIT.