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Antipsychotic metabolic monitoring — GPhC CRA MCQ

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ModerateCNS TherapeuticsAntipsychotic metabolic monitoringGPhC CRA

A patient starts olanzapine after a psychiatric admission. The discharge summary asks the GP pharmacy team to support physical health monitoring. What monitoring is required?

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Correct answer: D — Weight, glucose or HbA1c, lipids and blood pressure

Olanzapine can cause weight gain, dyslipidaemia and impaired glucose regulation. Baseline and ongoing cardiometabolic monitoring is important for reducing long-term harm. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS