escitalopram

What are first-line treatments for PTSD?

Norma is a 70 yo woman with hypertension and post-traumatic stress disorder (PTSD). After the death of her husband, she experienced a severe major depressive episode and a resurgence of PTSD symptoms from a sexual assault she endured as a young woman. Knowing that trauma focused therapy is the first-line treatment for PTSD, you try to connect […]

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When should you stop an SSRI trial for depression due to lack of efficacy?

30 yo woman with generalized anxiety disorder presents in her first major depressive episode. She is depressed, hopeless, sleeping poorly, exhausted, and losing weight (6 pounds in the last month). She has never taken psychiatric medications before. She would like to try a medication to treat both depression and anxiety (so bupropion is out).  You prescribe

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Which SSRI should I choose?

What follows is a brief summary of the clinically important differences between the SSRIs, followed by 5 patient cases that ask, “Which SSRI?”   The five SSRIs most commonly used in the US for depression and anxiety are fluoxetine, paroxetine, sertraline, citalopram, and escitalopram.  The sixth SSRI, fluvoxamine, is mainly used to treat OCD.   All

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