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Last HAM-D Score of 7 (3 months ago). patient is on Escitalopram 10 mg once daily and Amitriptyline 50 mg @ night as needed for sleep. should I keep patient on both medications? if not, which medication should be discontinued? and why? patient with PMH of DVT, HFrEF with 35% ejection fraction, and COPD

Last HAM-D Score of 7 (3 months ago). patient is on Escitalopram 10 mg once daily and Amitriptyline 50 mg @ night as needed for sleep. should I keep patient on both medications? if not, which medication should be discontinued? and why? patient with PMH of DVT, HFrEF with 35% ejection fraction, and COPD

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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patient with a good energy level which is near baseline. Sleep well (8-9 hours per night with intermittent waking). patient has been seeing a counselor for 1 year for their depression with good results. Last HAM-D Score of 7 (3 months ago). patient is on Escitalopram 10 mg once daily and Amitriptyline 50 mg @ night as needed for sleep. should I keep patient on both medications? if not, which medication should be discontinued? and why? patient with PMH of DVT, HFrEF with 35% ejection fraction, and COPD.

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