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65 years old known case of labile ht known case of epilepsy pt is on sodium valproate 200 mg and cilnidipine 10 mg. Since several weeks pt complaints of dizzy spells and imbalance, and fear of fall haemoglobin 9.5gm. Rest blood sugar electrolytes. Urine normal kidney fns and lft normal how do you manage this pt.
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Advance age, hb-9.5gm. I think nutrition is not as need of the patient than the adverse effect sodium valproate & cilnidipine in old age. Frequent and regular diet then after one week reduce the dose of said medicine slowly.
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