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1...Blurred vision in a woman with major depressive disorder?
2...Re-consider prescrition of Paroxetine to a 71 year old male patient with major depression?
3...Bupropion is a good choice for an old patient with dementia and depression.
.the answers wud be......
1. the woman must be on TCAs......and blurring of vision is an anticholinergic effect that is caused by these TCAs.
2. elderly pt. if given paroxetine.......leads to urinary retention(as we've discussed & u got this point out of the corner my brain, thanx once again)
3.bupropion is a good choice in an old pt. with dementia & depression.......as SSRIs wud not be helpful for dementia & in fact they can worsen dementia by their anti cholinergic effect( and as we know, demented pt.s already have decreased ACh).
Is that ok, del? :P
A very good reply Smitha ...Thank you :wink:
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