A 72 year old female with no past psychiatric history was ad…
A 72 year old female with no past psychiatric history was admitted to an inpatient psychiatric facility after running out in the street naked to direct traffic along with other concerning erratic behaviors. On workup, she is found to have hypothyroidism for which she takes levothyroxine. She has been taking lisinopril and a thiazide diuretic for at least 5 years for BP, takes ibuprofen every day for back pain and takes metformin each day. Vital signs are WNL and BMI is 30. After physical causes are ruled out, she is diagnosed with bipolar disorder. Which of the following is the best recommendation for initiation of pharmacotherapy?
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