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Lithium counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareLithium counsellingGPhC CRA

A patient stable on lithium asks if he can start a strict low-salt diet and intense exercise plan. What would you advise the patient?

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

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Correct answer: E — Avoid sudden salt or fluid changes and discuss the plan with his clinician

Changes in salt and fluid balance can affect lithium concentrations and toxicity risk. Dehydration, sweating and NSAID use are important risks. Patients should seek advice before major diet or exercise changes.

Reference: BNF; NICE CKS