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A 72-year-old woman suffers from a major depressive episode. She has a history of coronary artery disease, atrial fibrillation on anticoagulation therapy, sick sinus syndrome, glaucoma, and chronic obstructive pulmonary disease.
Which of the following medications is most appropriate for the treatment of her depression?
Suggested Answer: C
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We have 1g of potassium permanganate in 25mL We have 300mL of solution
For every 25mL of that 300mL, we have 1g of KmnO4
300mL must have 12g of potassium permanganate (300ml/25mL)
34 comments · newest first
MA
Marya
10 months ago
Doxepin might not be the best with her glaucoma.
MI
Mickie
11 months ago
Surprised they didn't mention therapy options too!
AR
Armanda
11 months ago
Amitriptyline could worsen her heart issues, right?
YU
Yuriko
11 months ago
Totally agree, it's safer for older patients!
MA
Mable
11 months ago
I think Escitalopram is a good choice for her.
RI
Rikki
12 months ago
I’m torn between nortriptyline and escitalopram. I know nortriptyline is less sedating, but I worry about her other conditions.
EL
Elizabeth
12 months ago
I practiced a similar question where we had to consider comorbidities. I feel like escitalopram could be a good option here.
CL
Claudio
12 months ago
I think fluvoxamine might be a safer choice since it’s an SSRI and has fewer side effects, but I’m not entirely sure.
DA
Darrel
1 year ago
I remember we discussed the risks of using tricyclic antidepressants in older patients, especially with her heart issues.
JO
Joesph
1 year ago
I'm feeling pretty confident about this one. I think escitalopram would be the safest and most appropriate option for her.
LA
Lauran
1 year ago
Nortriptyline seems like a good choice given her cardiac history. I'll make sure to review the dosing and monitoring requirements.
DO
Doug
1 year ago
Okay, let's see. I'm leaning towards one of the SSRIs like escitalopram, but I'll double-check the contraindications.
BU
Bulah
1 year ago
Hmm, I'm a bit unsure here. Need to really think through the pros and cons of each option.
TA
Tasia
1 year ago
This is a tricky one. Gotta consider all her comorbidities and the potential side effects of each medication.
VE
Veronika
1 year ago
I'm not entirely sure about the limited view of activities based on agent size. I'll need to double-check that part.
NI
Nichelle
1 year ago
Ah, the UDP 4500 traffic not reaching the router is an interesting one. I'll check the firewall and routing settings to see if that's the culprit.
RO
Rosalia
1 year ago
Doxepin, huh? I didn't know we were trying to put her to sleep for the next 72 years.
KI
King
1 year ago
I hear Amitriptyline comes with a free set of defibrillator paddles. Just in case.
DO
Dortha
1 year ago
Fluvoxamine? More like 'Flu-vox-amine' am I right? Anyway, Escitalopram looks like the best choice here.
BE
Berry
1 year ago
Escitalopram is definitely the best choice for her given her medical conditions.
JE
Jettie
1 year ago
I would go with Escitalopram too, it seems like the most appropriate option.
JU
Justine
1 year ago
I think Escitalopram would be safer considering her medical history.
AI
Ailene
1 year ago
I agree, Escitalopram is a good choice for her.
DU
Dusti
1 year ago
Doxepin? Really? That's like prescribing sleeping pills for someone with COPD. Not a good idea.
MO
Moon
1 year ago
I'm leaning towards Escitalopram. It has a better safety profile for patients with cardiovascular issues.
PA
Pamella
1 year ago
User 3: Escitalopram sounds like the best option for her given her medical history.
MI
Miriam
1 year ago
User 2: I think so too, it's safer for patients with heart problems.
LA
Larae
1 year ago
User 1: I agree, Escitalopram is a good choice for her.
AI
Aileen
1 year ago
Amitriptyline would be a risky choice given her medical history. Nortriptyline or Escitalopram seem like safer options.
MI
Milly
1 year ago
User 2
AL
Alfred
1 year ago
User 1
OR
Ora
1 year ago
I agree with Magda, Nortriptyline has less anticholinergic side effects which would be safer for her conditions.
MA
Magda
1 year ago
I disagree, I believe Nortriptyline would be more suitable considering her medical history.
RI
Ricarda
2 years ago
I think Escitalopram would be the best choice for her.