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Olanzapine metabolic monitoring — GPhC CRA MCQ

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EasyCNS TherapeuticsOlanzapine metabolic monitoringGPhC CRA

A man starts olanzapine for schizophrenia and the GP asks about baseline checks. What monitoring is required?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Check weight, glucose or HbA1c, lipids and blood pressure

Olanzapine is associated with weight gain, dyslipidaemia and diabetes risk. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS