WHMIS (Lithium citrate anhydrous)

Workplace Hazardous Materials Information System

WHMIS 2015 classification - Note to reader

• Reproductive toxicity - Category 1A1 2 3 4 5 6
• Toxic to the development

• Specific target organ toxicity - repeated exposure - Category 12 7 8

Danger

May damage fertility or the unborn child (risk of fetal cardiac malformations) (H360)
Causes damage to organs (central nervous system) through prolonged or repeated exposure (H372)

Comments: Due to the lack of data, classifications regarding reproductive toxicity (H360) and specific target organ toxicity - repeated exposure (H372) were established by analogy to lithium carbonate.

References

• ▲1.  Moore, J.A., «An assessment of lithium using the iehr evaluative process for assessing human developmental and reproductive toxicity of agents.» Reproductive Toxicology. Vol. 9, no. 2, p. 175-210. (1995). [AP-046801 ]
• ▲2.  NIOSH, Health hazard evaluation report, Lithium corporation of America. Bessemer City, North Carolina. (1981). HHE 80-036-922.
• ▲3.  Poels, E.M.P. et al., «Lithium during pregnancy and after delivery: a review.» International journal of bipolar disorders. Vol. 6, no. 26. (2018).   https://journalbipolardisorders.springeropen.com/articles/10.1186/s40345-018-0135-7
• ▲4.  Munk-Olsen, T. et al., «Maternal and infant outcomes associated with lithium use in pregnancy:.» Lancet psychiatry. Vol. 5, no. 8, p. 644-652. (2018).   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077091/pdf/nihms-977891.pdf
• ▲5.  Patorno, E. et al., «Lithium Use in Pregnancy and the Risk of Cardiac Malformations.» The new england journal of medecine. Vol. 376, no. 23, p. 2245-2254. (2017).   https://www.nejm.org/doi/full/10.1056/NEJMoa1612222
• ▲6.  Diav-Citrin, O. et al., «Pregnancy Outcome Following in Utero Exposure to Lithium: A Prospective, Comparative, Observational Study .» The american journal of psychiatry. Vol. 171, no. 7, p. 785-794. (2014).   https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2014.12111402?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
• ▲7.  ECHA (European Chemicals Agency) , Information on chemicals (REACH)/ECHA chemicals database. Helsinki, Finland.   http://echa.europa.eu/information-on-chemicals/registered-substances
  https://chem.echa.europa.eu/
• ▲8.  Centre canadien d'hygiène et de sécurité au travail, CHEMINFO, Hamilton, Ont. : Canadian Centre for Occupational Health and Safety   http://ccinfoweb.ccohs.ca/cheminfo/search.html

The [number] refers to the Information SST database of the CNESST Documentation Center.