A patient on phenytoin therapy develops depression, for which he was prescribed tricyclic anti-depressants. He now complains of lassitude and his Hb reading is 8 gm/dl, the next step in the management of this patient is:
Ans. (B) MCV should be estimated(Ref: KD T 8/e p441)Phenytoin can induce folate deficient megaloblastic anemia that can be diagnozed by measuring MCV.
Chest X ray
MCV should be estimated
GGT should be estimated
None of the above
Epilepsy