What caused low energy in a patient whose other depressive symptoms were improving with escitalopram?

One year after the death of her spouse, a 75 yo woman with hypertension on hydrochlorothiazide presents in a first major depressive episode with prominent neurovegetative symptoms (difficulty sleeping, low appetite with a 10lb weight loss, low energy, mild psychomotor retardation).  You start her on escitalopram 2.5mg for 1 week, then increase to 5mg, and […]

What caused low energy in a patient whose other depressive symptoms were improving with escitalopram? Read More ยป