Question
A 24 year old man was admitted to psychiatric unit 7 days ago after bystanders found him standing on ledge of bridge.Since his medication regimen was altered upon arriving,he is now complaining of diarrhea,dry mouth,increased urination & a weird taste in his mouth.Physical examination is remarkable for a fine intention tremor of hands.Which of the following drugs is most likely responsible for his symptoms?
| A. |
Lithium
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| B. |
Olanzapine
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| C. |
Quetiapine
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| D. |
Fluphenazine
|
Show Answer
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Correct Answer � A
Explanation
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Ans-A-Lithium
Lithium-Is a mood stabilizer & most commonly prescribed drug for bipolar disorder
Adverse effects include-Leukocytosis,Diabetes insipidus,Tremor,Hypothyroidism,Increased Urine & Ebsteins’s anomaly
Intoxication of lithium leads to
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Mild-Fatigue,weakness,diarrhea,metallic taste
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Moderate-Tremors,fasciculations,discoordination,hyperreflexia
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Severe-Nephrotoxicity,cardiotoxicity,Altered mental status
Adverse effects of olanzapine,Quetiapine & Fluphenazine are weight gain,can cause dry mouth,and also tremors.Quetiapine has a significant effect that is cataract