A 52-year-old man with bipolar disorder on lithium 900 mg daily presents with coarse tremor, confusion, ataxia, and diarrhea. Serum lithium level is 3.2 mEq/L (normal therapeutic range 0.6–1.2 mEq/L). He has normal renal function and is adequately hydrated. What is the drug of choice for acute management of his lithium toxicity?

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