If a patient on clozapine starts having neutropenia (ANC < 2.0), I recommend low-dose lithium to bring his or her ANC back up to > 2.0.—KAREN MILEN, FNP-BC, Chattanooga, Tenn. (211-6)

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

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