Lady with history of depression came to the OPD and was prescribed on Imipramine One wk later bystanders complained that she is having hallucination and excessive talking what will you advice on follow up
Sodium Valproate Indications : Mania, hypomania, bipolar depression (with an antidepressant) and prophylaxis of bipolar affective disorder. May reduce aggression in a range of psychiatric disorders . ref : robe hales 6th ed
stop the current antidepressant
mood stabilizers
Add sodium valproate to antidepressants
add Antipsychotics
All India exam