srf
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A 20-year-old female from another city is visiting her sister, who is one of your patients. Within the past 24 hours she has been experiencing a constellation of symptoms that include nausea, vomiting, diarrhea, fatigue, weakness, dizziness, lightheadedness, sweating, and diffuse muscle aches. She has never been hospitalized, and her only current medication is an oral contraceptive that she has taken for several years. For the past 2 months she has been taking 75 mg of amitriptyline (Elavil) per day for a mild depression. Because she was coming to visit her sister and felt "so good" she discontinued the antidepressant 3 or 4 days ago, and does not wish to take it anymore. <?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
Which one of the following pharmacologic agents would provide the best management for her clinical problem?
Sertraline (Zoloft)
Venlafaxine (Effexor)
Trazodone (Desyrel)
Prochlorperazine (Compazine)
Benztropine mesylate (Cogentin)
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| Rasul
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ZOLOFT
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| r_albayunen
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e?
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| mesh
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venlafaxine??
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| achilles
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sertaline(zoloft)
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| srf
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e is correct
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| achilles
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good question. thanks srf....could you pls post the explanation for this one.
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| msyamp
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explain  
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| cerebral
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is it because amytrytiline is anticholinergic and without the drug cholinergic manifestations are now occurring?
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| srf
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explaination by cerebral is correct.
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| drhyd
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Good question and the xplanation is correct
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| frank100
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e
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