A 24-year-old patient with a history of bipolar I disorder presents to the clinic and reports excessive fatigue over the past 2 months.

A 24-year-old patient with a history of bipolar I disorder presents to the clinic and reports excessive fatigue over the past 2 months. The patient also has an increased need for sleep, difficulty concentrating, and constipation. The patient has been taking lithium (Lithobid) 600 mg twice daily for > 2 years with achievement of euthymia at this dose for > 1 year. The patient tried many other agents for this disorder without a good response. One week ago, this patient had the following laboratory test results: lithium (Lithobid) level of 0.7 mEq/L, TSH of 8.5 mU/L, free T4 of 0.2 ng/dL, and a normal CMP. The patient’s physical examination is unremarkable. What is the most appropriate treatment for this patient’s condition? Collaborating regarding levothyroxine (Synthroid) prescribing Decreasing lithium (Lithobid) dosing to 300 mg twice daily Discontinuing lithium (Lithobid) therapy permanently Immediately starting fluoxetine (Prozac) 20 mg once daily

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.