Which of the following drug when combined with Electro-convulsive therapy leads to post ictal delirium: (A) Succinylcholine, (B) Lithium, (C) Desipramine, (D) Clozapine
Answer is B. Lithium when combined with ECT Lowered seizure threshold - Prolonged seizures(lasting > 3 min). Results in post-ictal delirium. Doses are withheld for 24 hours prior to treatment