32 Years old male with history of bipolar II, for the last 3 weeks he was complaining of depressed mood and anhedonia, past-medical history of hypertension on Lisinopril. What is the most appropriate management? (as I think)
A. Lamotrigine and titrate slowly
B. Stop Lisinopril as it may worsen symptoms
C. Fluoxetine to treat his depression
D. Electroconvulsive therapy for rapid symptoms relief
Alhomrani: I Don’t Think The Recall Is Written Like This , See Similar (From June/July)
A question about a patient with bipolar disorder whose condition worsened over the last 3 weeks. He was RECENTLY diagnosed with hypertension and started on an ACE inhibitor. What is the management?
Choices:
A) Stop the ACE inhibitor
B) Give Lamotrigine
We Need Someone To Refine The Recall In Future , But For Now Answer Is: B. Stop Lisinopril as it may worsen symptoms
ACE inhibitors Antagonise RAAS System And Block Amiloride Sensitive Channel (Which Is Responsible For Lithium Absorption)
ACE Inhibitors Worsen Bipolar Control In Lithium Users As They Decrease Lithium Serum Level
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