A 30-year-old man with schizophrenia, stabilised on Olanzapine 10mg daily, complains of recent weight gain and increased thirst. His fasting blood glu...

Question

A 30-year-old man with schizophrenia, stabilised on Olanzapine 10mg daily, complains of recent weight gain and increased thirst. His fasting blood glucose is 7.5 mmol/L and HbA1c is 55 mmol/mol (7.2%). What is the most appropriate initial management step regarding his medication?

Accepted Answer

Switch Olanzapine to Aripiprazole

Answer

Stop Olanzapine immediately

Answer

Add Metformin

Answer

Increase Olanzapine dose

Answer

Refer to endocrinology

ukmla MCQ (SBA): Antipsychotic Side Effects (Metabolic)

A 30-year-old man with schizophrenia, stabilised on Olanzapine 10mg daily, complains of recent weight gain and increased thirst. His fasting blood glucose is 7.5 mmol/L and HbA1c is 55 mmol/mol (7.2%). What is the most appropriate initial management step regarding his medication?