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David V. Forrest, MD
155 W 68th St New York, NY 10029

Arch Gen Psychiatry. 1983;40(1):108.

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In Reply.—

Dr Wehr's more parsimonious explanation is a valuable addition to my case report. However, previous attempts to wean the patient from tricyclic maintenance had resulted in unbearably painful depression. During a subsequent hospitalization for pneumonia, the patient's internist and I withdrew carbamazepine to evaluate any possible blood toxicity. Within a day, the patient complained of dysphoria and was becoming steadily more depressed. Carbamazepine therapy was resumed within the week, and the patient's mood improved. . . . [Full Text PDF of this Article]

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