A client diagnosed with bipolar I disorder: manic episode refuses to take lithium carbonate (Lithobid) because of excessive weight gain. In order to increase adherence, which medication should a nurse anticipate that a physician may prescribe?

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Quizplus · Accepted Answer

Valproic acid (Depakote) is commonly prescribed as an alternative or adjunct medication for bipolar disorder if the patient is unable or unwilling to take lithium. It has been shown to be effective in treating manic, depressive, and mixed episodes of bipolar disorder, and has a lower risk of causing weight gain compared to lithium. However, it does carry a risk of liver damage and other side effects, so the client should be closely monitored. Sertraline, trazodone, and paroxetine are antidepressant medications and are not typically used as first-line treatments for bipolar disorder.

A Client Diagnosed with Bipolar I Disorder: Manic Episode Refuses