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Bipolar Disorder — UKMLA MCQ

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MediumMental HealthBipolar DisorderUKMLAMRCGP AKTMRCP Part 1

A 30-year-old with newly diagnosed bipolar disorder is to commence long-term mood stabilization. According to NICE which medication is first-line maintenance

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Correct answer: D — Lithium

Lithium is generally first-line for bipolar maintenance if tolerated and no contraindications. In practice, apply this recommendation to the complete clinical context, including contraindications, comorbidity, interactions, patient preference and the current local pathway. The alternative options require findings or treatment circumstances that are not present in the stem. Review response and safety-net for deterioration, treatment failure or unexpected adverse effects. Reassess the diagnosis if the expected response does not occur.

Reference: NICE Bipolar Disorder CG185: https://bnf.nice.org.uk/