My wife is suffering from depression, she is shouting incase she has not taken dicorate 500 mg in night time and fluvoxin 50 in day time, also she do not have proper sleep then she shouts, this depression and mental problem due to joint family pressure earlier this medicine she was taking since 2009 is this dose is sufficient or higher dose is needed, is there any side affect by taking such medicines, please advice, what to do. She is at present 56 years old.

Dr. Saranya DevanathanPsychiatrist46yrs exp

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Dear lybrate-user, I need to know the diagnosis of your wife. Depression can be a phase of a bipolar or recurrent major depressive disorder. Usually for such repeated depressions, psychiatrist prescribe Dicorate. Usual dose of Dicorate depends on her weight. May be she needs 20 mg/kg body weight. Just 500 mg at night may not be sufficient. You can also get blood valproate (dicorate) level. That may decide how much Dicorate she needs. Even Fluvoxin dose needs to be increased according to her response. Some time people respond well to low dose - but not always. When did she last saw the psychiatrist? Let her consult again and frequently even if she is normal. That will make her NOT to miss the tablets. Not having proper sleep is the early symptom of depression rather than the cause for depression. If you want more information, I need to get more information from her and you. Please come online chat or audio consultation at 10 or 10: 30 am. Mondays to Friday. 

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