Case scenario

Felicity, 25, presents to the pharmacy requesting a sleeping tablet. She shares that for the past few days she has felt like her body is ‘speeding up’, and while she feels full of energy, she hasn’t been sleeping well and feels ‘wired’. Her dispense history shows escitalopram 20 mg, last dispensed 1 month ago, which was increased from a 10 mg dose that was commenced 3 months ago for what her doctor diagnosed as depression.

Learning outcomes

After reading this article, pharmacists should be able to:

  • Discuss patient risk factors associated with bipolar disorder
  • Identify signs and symptoms associated with bipolar disorder
  • Describe pharmacological management options for bipolar disorder
  • Identify monitoring requirements for medicines used in managing bipolar disorder.

Competency standards (2016) addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.2, 3.3, 3.5, 3.6

Accreditation number: PSAAP2606TU

Accreditation expiry: 31/05/2028

Accreditation points: 1.5 Group 2 credits

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