Antipsychotic Monitoring Chart Page 2
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23. Blood tests recommended for all antipsychotics (baseline, at 3 months, then yearly)
Bloods should be taken in the morning in a fasting state and before giving medication
New Antipsychotic
Ongoing
Ongoing Use
Starting
Investigations
Baseline
Month 3
Month 12
Point
Date of blood taken
Total Cholesterol *
Triglycerides *
Blood Glucose
White Blood Cell (WBC) Count †
Neutrophil Count †
Liver Function Tests (Normal Y/N) #
Urea & Electrolytes (Normal Y/N) #
Prolactin **
Name, Signature &
Designation
4.1 Questions to ask for all antipsychotics to monitor for extrapyramidal side effects **
(baseline, monthly for 3 months, then every 3 months)
New Antipsychotic
Ongoing
Ongoing Use
Starting
Observations
Baseline
Month
Month
Month
Month
Month
Month
Point
(please indicate with a tick = yes, x = no)
1
2
3
6
9
12
Any muscular tremors or spasms
ie dystonia?
Any muscular stiffness or rigidity
ie Parkinsonism?
Any restlessness or agitation
ie akathisia?
Any involuntary hyperkinetic movements
ie dyskinesia?
4.2 Questions to ask or consider for all antipsychotics to monitor for hyperprolactinaemia **
(baseline, monthly for 3 months, then every 3 months)
Ongoing
New Antipsychotic
Ongoing Use
Starting
Observations
Baseline
Month
Month
Month
Month
Month
Month
Point
(please indicate with a tick = yes, x = no)
1
2
3
6
9
12
Any milk leakage from your breasts?
Any breast enlargement?
Have menstrual periods ceased or
become irregular?
Any loss of sexual function or desire?
Stunted growth or delayed puberty?
Name, Signature &
Designation
5. Interventions required
Baseline
Month 1
Month 2
Ongoing
Month 3
Month 6
Month 9
Month 12
Starting Point
None
None
None
None
None
None
None
None
Intervention
required if
abnormality
detected
Name,
Signature &
Designation
mg = milligram
LEGEND:
* if any abnormalities are detected, a complete lipid profile is recommended
Legend:
*
if any abnormalities are detected, a complete lipid profile is recommended
†
kg = kilogram
† optional for patients prescribed clozapine because mandatory blood monitoring involving weekly testing for the first 18
optional for patients prescribed clozapine because mandatory blood monitoring involving
m = metres
weeks then monthly thereafter is recorded elsewhere
weekly testing for the first 18 weeks then monthly thereafter is recorded elsewhere
#
BMI = Body Mass Index
# if No, indicate abnormality
if No, indicate abnormality
Y = Yes
pay particular attention with risperidone, amisulpride, olanzapine and first generation antipsychotics
**
N = No
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