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Case 1:40-year-old male who presents with Bipolar 1 Disorder and in a manic state after stopping his Abilify for the 3rd time in 8 months. It had been discussed previously to start Abilify Maintena 400mg IM q 4 weeks and will be started today. He has not had PO Abilify for 1 week.

Question

What is the potential side effect of the medication that will be started?
Is this medication appropriate (right med, right dose, right time, right route) for this patient?
What would be another medication(s) you could possibly start and the side effects of that medication(s)?

Case 2:93-year-old female who presents with the recent loss (6 months ago) of her husband of 58 years. She notes trouble sleeping, not being hungry, and sad. She has no previous psychiatric history and is to be started on paroxetine 30mg daily and quetiapine 200mg hs for her recent insomnia.

Question

What is the potential side effect of the medication that will be started?
Is this medication appropriate (right med, right dose, right time, right route) for this patient?
What would be another medication(s) you could possibly start and the side effects of that medication(s)?

Thank You

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