Q:

A 40 year old manic depressive is noted to have high serum levels of lithium and profound hypokalemia. His GP had started him on anti-hypertensive. Choose the single most likely cause?

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A 40 year old manic depressive is noted to have high serum levels of lithium and profound hypokalemia. His GP had started him on anti-hypertensive. Choose the single most likely cause?


  1. Verapamil
  2. Amiodarone
  3. Ranitidine
  4. Lithium
  5. Thiazide

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The key is E. Thiazide. [Thiazide was prescribed for hypertension and when lithium was prescribed its level increased due to thiazide and thiazide also caused hypokalemia resulting the given picture].

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