A 35-year-old man with long-standing schizophrenia is stable on an atypical antipsychotic but has gained 15 kg and developed impaired fasting glucose....

Question

A 35-year-old man with long-standing schizophrenia is stable on an atypical antipsychotic but has gained 15 kg and developed impaired fasting glucose. According to Canadian metabolic monitoring guidelines for antipsychotics, what is the most appropriate next step?

Accepted Answer

Review lifestyle, consider switching to a lower-risk antipsychotic, and monitor metabolic parameters regularly

Answer

Ignore the weight gain; it is an expected side effect

Answer

Stop antipsychotic immediately without replacement

Answer

Add high-dose corticosteroids

Answer

No monitoring is needed if the patient feels well

ca-mccqe1 MCQ (SBA): Metabolic effects of antipsychotics

A 35-year-old man with long-standing schizophrenia is stable on an atypical antipsychotic but has gained 15 kg and developed impaired fasting glucose. According to Canadian metabolic monitoring guidelines for antipsychotics, what is the most appropriate next step?