30th November 2023

A 36-year-old lady has presented to your clinic for a medication review

A 36-year-old lady has presented to your clinic for a medication review.

She was recently diagnosed with bipolar disorder following a manic episode with a background history of multiple depressive episodes. Her medication history includes olanzapine 10mg OD and lithium carbonate 600mg BD.

She has noticed a significant improvement in psychological symptoms and feels much better overall. However, she reports noticing feeling much more tired in the past 3 weeks. She also reports a reduction in appetite and episodes of constipation.

Given her presentation, what is the most likely explanation for her symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.