bupropion

What treatments help patients stop using methamphetamine?

Carter is a 41 year old man who comes to see you for a routine follow-up visit. He previously used cocaine on nights out with friends. Today, Carter tells you that he stopped using cocaine entirely because he found something better: crystal (methamphetamine). For the last year, he has used a little bit of crystal …

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Which antidepressants are least likely to cause weight gain?

After almost 2 years of discussing pharmacotherapy, a 48 year old woman with severe generalized anxiety disorder (GAD) agrees to take medication. She starts taking escitalopram and increases the dosage. After 8 weeks on a daily dose of escitalopram 20mg, her anxiety symptoms are in remission. She has no side effects. However, when you see her 6 months …

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How do you choose an antidepressant?

You see a 24 yo woman in a severe major depressive episode and offer her sertraline and a referral to therapy. After the visit, the medical student rotating with you asks why you chose sertraline for this patient. He follows with, “I guess I’m asking…how do you choose an antidepressant?” You answer his question in three …

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Does this patient’s history of binging and purging make it unsafe to start bupropion?

Your patient is a 25 yo woman in a current major depressive episode. She was treated with escitalopram first, and then switched to sertraline. Each medication helped her depression and caused anorgasmia, which caused her to stop them.  She is moderately depressed, and wants to know if there is anything that she can take for depression that …

Does this patient’s history of binging and purging make it unsafe to start bupropion? Read More »