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As effective as antipsychotic medications can be, they can also have serious side effects. Please explain...

As effective as antipsychotic medications can be, they can also have serious side effects. Please explain the rationale for ordering a lipid panel, HGBA1C, liver function tests, and fasting blood sugars for patients who are taking antipsychotics. Also, please describe at least one screening tool that could be used to assess side effects in patients who are taking antipsychotic medications (include a link if available online).

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Antipsychotic medications are used to treat psychiatric conditions but it always pose a greater risk for side effects.These side effects are related to

  • cardiovascular (elevating the BP -Psychiatric medications containing epinephrine, norepinephrine alters the blood pressure level) so lipid profile can rule out the risk by predicting the cholesterol levels
  • endocrine system (diabetes,increased weight -hormonal changes) the HbA1C remains elevated for 3 months
  • liver (elevation of SGOT,liver enzymes-due to metabolism).LFT can describe the changes in these values

The best screening tool to assess side effects in patients who are taking antipsychotic medications is SMARTS (Systemic Monitoring of Adverse events Related to Treatments) This include 11 side effects

  • Movement problems
  • Weight changes
  • Dizziness ,anxiety,depression
  • Fatigue
  • Restless
  • Gastrointestinal problems
  • Changes in menstrual cycle
  • Changes in sexual life
  • Others symptoms related to usage of the drug
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