Table 2

Assessment frequency for reviewing health effects of bipolar medications

MedicationInvestigations/examinationsSuggested assessment timetable during treatment (months)
Initiation61224
CarbamazepineFull blood count
Endocrine
LamotrigineFull blood count
LithiumRenal (urea, creatinine, electrolytes)
Endocrine (TSH, Serum Ca2+)
Physical (waist circumference, BMI)
Serum lithium estimations
OlanzapinePhysical
Fasting glucose and lipids
QuetiapinePhysical
Fasting glucose and lipids
ValproateFull blood count
Blood pressure
Endocrine
Fasting glucose and lipids
  • TSH, thyroid-stimulating hormone; BMI, body mass index.

  • Derived from Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guideline: Mood Disorders. (Malhi et al, 2014; under consideration from ANZJP).