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Q: When is an 8 not really an 8

Sandson: On average, NSAIDs like ibuprofen and naproxen raise lithium levels 20%50%, but theres a wide bell curve here, and it can range from 20% to 200% in practice

However, if the congestion is due to a more persistent issue such as chronic sinusitis, Eustachian tube dysfunction, or an ear infection, it may last longer and require specific treatment