Monitoring Requirements

Antipsychotics:

• BMI, weight
• U&Es, FBC
• LFTs, lipids
• HR, BP, ECG
• Prolactin

Lithium:

• Lithium Levels: Weekly until stable, then 3-monthly
• Normal plasma level is 0.6 – 0.8 (narrow therapeutic index)
• 6-monthly: Thyroid, U&Es, eGFR, calcium, BMI
• If toxicity is suspected do urgent levels & seek advice
  • Tremors, diarrhoea, dry mouth, altered taste sensation, increased thirst,
    increased urinary frequency, ataxia, nausea, blurry vision, vomiting & seizures

Sodium Valproate:

• BMI, LFTs, FBC at baseline, 6 months, 12 months
• Seek immediate advice if there are:
  • Blood disorders (unexpected unexplained bleeding, bruising, sore throat or
    fevers)
  • Liver disorders (jaundice, drowsy and oedema)
  • Pancreatitis