The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice? Can you suggest an alternative if this is not the case? What are the recommendations about SSRIs in relation to cardiotoxicity?

The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice? Can you suggest an alternative if this is not the case? What are the recommendations about SSRIs in relation to cardiotoxicity?

Curren'S Math For Meds: Dosages & Sol

11th Edition

ISBN:9781305143531

Author:CURREN

Publisher:CURREN

Chapter12: Ratio And Proportion

Section: Chapter Questions

Problem 44SST

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Concept explainers

Stress

Stress is defined as the feeling of being overwhelmed or unable to cope with emotional or mental pressure. Any event or action that makes a person annoyed, furious, or nervous can trigger it. Chemical changes in the body caused by stress can cause blood pressure, blood sugar levels, and heart rate to rise.

Question

Depression- Cardiovascular disease:

Mr VV, a 67 year old suffered a myocardial infarction 2 weeks ago. He is showing signs of mild-moderate depression. Knowing that depression is a poor prognostic factor for survival post-MI, the cardiac team refer him to you.

His current medicines are:

Aspirin 75mg od

Atenolol 100mg 0d

Simvastatin 10mg od

Enalapril 10mg od

The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice?
Can you suggest an alternative if this is not the case?
What are the recommendations about SSRIs in relation to cardiotoxicity?

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