Does Lithium Improve Agitation After Valproate in Schizophrenia?
-
By
-
April 23, 2026
-
2 min
-
1
Patient: 49-year-old female with treatment-resistant schizophrenia.
-
2
Initial treatment: Valproate at 800 mg/day.
-
3
Adverse effects: Hypoglycemia and pancytopenia.
-
4
Alternative treatment: Lithium start at 400 mg, increased to 600 mg.
-
5
Improvement: Reduction in agitation and hostility noted.
-
6
Assessment tool: Brief Psychiatric Rating Scale (BPRS).
-
7
Limitations: Single-case design and potential confounding factors.
-
8
No readmission in 3 months, though some psychotic symptoms persisted.