Does Lithium Improve Agitation After Valproate in Schizophrenia? - Takeaway - MDSpire
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Does Lithium Improve Agitation After Valproate in Schizophrenia?

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    Patient: 49-year-old female with treatment-resistant schizophrenia.

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    Initial treatment: Valproate at 800 mg/day.

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    Adverse effects: Hypoglycemia and pancytopenia.

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    Alternative treatment: Lithium start at 400 mg, increased to 600 mg.

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    Improvement: Reduction in agitation and hostility noted.

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    Assessment tool: Brief Psychiatric Rating Scale (BPRS).

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    Limitations: Single-case design and potential confounding factors.

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    No readmission in 3 months, though some psychotic symptoms persisted.

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