Depression

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1. All choices for prescription:

    1. SSRIs:

        1. Cap Fluoxetine (Prozac) 10, 20mg, and syrup 20mg/5ml

            1. Contraindicated in

                1. DM

                2. Seizure poorly controlled

                3. CKD

                4. Liver disease

            2. side effects:

                1. headache

                2. anxiety

                3. anger

                4. xerostomia

                5. N/V

                6. GI upset

                7. sleep problem as بیخوابی

            3. in Breast feeding and pregnancy, with measuring advantages V.s disadvantages

        2. Tab sertraline (Asentra,  Zoloft) 25, 50, 100mg

        3. Tab Citalopram (Celexa) 20, 40mg

        4. Tab Paroxetine 10, 20, 30mg

        5. Tab Escitalopram (Lexatal) 5, 10, 20mg

    2. SSRIs have drug interaction with methadone

2. How to choose:

    1. young, no PMHx, lack of energy

        1. Cap fluoxetine 10mg #100 qd at morning

    2. with PMHx and DHx:

        1. Tab Asentra 25mg #100 qd

            1. or Tab Lexatal 5mg #100 qd

    3. postnatal depression

        1. Tab Prozac 10mg #60 qd

    4. for impotence:

        1. Tab sildenafil 50mg #30 1hour before intercourse

        2. Tab bupropion 75,100, 150mg #30 qd

3. Refer if:

    1. no proper care

    2. misdiagnosis

    3. need for paraclinic

    4. possibility of homicide or suicide