Deaf Mental Health Services, Specialities Directorate, Birmingham and Solihull Mental Health NHS Trust Birmingham, UK. maneesh_psych@yahoo.com
BACKGROUND: Prescribing psychotropic drugs in clients with severe anaemia has rarely been reported before. CASE PRESENTATION: A 36 year old man with severe anaemia was prescribed divalproex sodium 250 mg daily for mood swings. He had unbearable side effects and had to discontinue the medication in nine days. CONCLUSION: Divalproex sodium may result in severe side effects in clients with severe anaemia.