Question 113 · LEK · Antidepressants
A 56-year-old patient visited the psychiatrist because of apathy, anhedonia, hopelessness, and decreased appetite for about 2 months. The patient has not been treated psychiatrically but she is treated for hypertension. The psychiatrist’s initial diagnosis is “moderate depressive episode”. Which of the following medications should he prescribe?
- A. alprazolam - small doses 3 times a day regularly, with the additional dose in the case of elevated blood pressure.
- B. olanzapine - small doses, which will improve appetite in the initial phase of treatment.
- C. escitalopram - SSRI medication, used in depression treatment.
- D. venlafaxine - SNRI medication, used in depression treatment.
- E. combined therapy A and D.
Hint
Choose a first-line antidepressant, keeping in mind which option could worsen her hypertension.
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