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I have an 11 year old male patient, for whom I have checked glucose and lipids due to being on an antipsychotic (Seroquel) long term. One year ago, his labs were normal. Now, the labs are mostly normal still, with the exception that his triglyceride level has risen dramatically from 68 one year ago, to 226 currently. There has been no significant change in weight; he weighed 30.6 kg (BMI 16.0) one year ago, compared to 31.5 kg (BMI 15.7) currently.
The lab was drawn at a different facility this time, but I don't know if that alone would account for the significant difference. The dose of Seroquel has remained the same over the past year (50 mg qam and 100 mg qhs), and is actually at a lower dose than he used to take prior to one year ago, so I wouldn't necessarily suspect that Seroquel has caused this. His other current medications include Adderall and acyclovir.
I've read that foods high in sugar can rapidly raise triglyceride levels, and Halloween was just a week ago, so I had a thought that maybe he ate tons of candy over the few days preceding his lab draw, but I doubt that this would lead to such a dramatic rise that quickly.
I am considering having the lab repeated to verify its accuracy. Any other ideas?
The lab was drawn at a different facility this time, but I don't know if that alone would account for the significant difference. The dose of Seroquel has remained the same over the past year (50 mg qam and 100 mg qhs), and is actually at a lower dose than he used to take prior to one year ago, so I wouldn't necessarily suspect that Seroquel has caused this. His other current medications include Adderall and acyclovir.
I've read that foods high in sugar can rapidly raise triglyceride levels, and Halloween was just a week ago, so I had a thought that maybe he ate tons of candy over the few days preceding his lab draw, but I doubt that this would lead to such a dramatic rise that quickly.
I am considering having the lab repeated to verify its accuracy. Any other ideas?