The Lester UK adaptation guidelines recommend that weight should be assessed weekly in the first eight weeks of starting a new antipsychotic, as rapid early weight gain may predict severe weight gain in the long-term. Blood pressure, fasting glucose and lipids should be reviewed every three months for the initial year, then annually thereafter. The psychiatrist should consider whether the antipsychotic drug regimen has played a causative role in these any metabolic abnormalities and consider whether an alternative regimen should be sought.