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Alex21

BPAD,current episode severe depression

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A known bipolar patient has had many episodes of mania but no clinically significant depression so far. But currently he presents with severe depression. He is already on lithium with good serum levels and is compliant. What will be the next step?

-sertraline

-Add venlafaxine

-Add lamotrigine

-increase Lithium dose

-No action required

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An SSRI is indicated if there is depressive episode. But, to discontinue as soon as the episode is resolved. I will go for Sertraline.

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