45-year-old man with bipolar disorder on lithium and haloperidol depot

45-year-old man with bipolar disorder on lithium and haloperidol depot injection presents with a change in his baseline over the last five days. The patient appears psychotic and is reacting to internal stimuli. The patient is examined and noted to be staring blankly and not speaking. When you examine the patient, you notice that he has a malar rash on his face and waxy flexibility. Laboratory studies are ordered, and an ANA comes backs positive. The patient begins treatment with lorazepam with partial improvement in his motor symptoms. Which additional medication would most likely help treat this patient’s condition? Aripiprazole Clozapine Methylprednisolone Midazolam

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