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Poll: A 71 yo man with carotid artery stenosis develops severe depression with anergy& hypersomina.The

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  1. #1
    Anonymous is offline Unregistered Guest
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    q435........depression Q

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    A 71 yo man with carotid artery stenosis develops severe depression with anergy& hypersomina.The best choice for initial Rx?

    A:amitriptyline
    B:doxepine
    C:nortriptyline
    Dhenelzine
    E:trazodone

  2. #2
    Anonymous is offline Unregistered Guest
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    ans

    a) amitryptiline.......tx of choice in elderly

  3. #3
    Anonymous is offline Unregistered Guest
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    ans

    C:nortriptyline

    elderly pts r often sensitive to the hypotensive,sedative and anticholinergic effects of antidepressants,this pt is at special risk for hypotension bcoz of his carotid artery stenosis,Nortryptiline is least likely to cause these SEs

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