QuestionSBA
QuestionChoice
Blood dyscrasias are a rare adverse effect of antipsychotic medications but routine full blood count monitoring is usually not necessary (exception: clozapine)
34402
c
Leucocyte count
QuestionChoice
It is recommended to check serum prolactin at baseline prior to treatment as the anti-dopaminergic effects of all antipsychotic drugs may cause hyperprolactinaemia
34400
a
Serum prolactin
QuestionChoice
It is not necessary to check or monitor liver function during treatment with aripiprazole
34403
d
Liver function tests
QuestionChoice
It is recommended to check serum prolactin at baseline prior to treatment as the anti-dopaminergic effects of all antipsychotic drugs may cause hyperprolactinaemia
34404
e
No routine monitoring is required
QuestionChoice
This questionnaire will give an indication of the severity of any co-existing affective disorders. It is not used routinely to determine adverse effects of antipsychotic treatment on mood
34401
b
PHQ-9
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2823
Antipsychotic side effects
Topic
90
Psychiatry
6891
Case Presentation: A 25 year old man is seen in the primary care psychiatry outreach clinic and diagnosed with schizophrenia with predominantly positive symptoms. He is advised to commence treatment with aripiprazole 15mg PO OD and to attend a follow-up appointment in two weeks.


Question: Select the most appropriate monitoring option required before starting aripiprazole.
a