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The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice? Can you suggest an alternative if this is not the case? What are the recommendations about SSRIs in relation to cardiotoxicity?

The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice? Can you suggest an alternative if this is not the case? What are the recommendations about SSRIs in relation to cardiotoxicity?

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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Depression- Cardiovascular disease:

Mr VV, a 67 year old suffered a myocardial infarction 2 weeks ago. He is showing signs of mild-moderate depression. Knowing that depression is a poor prognostic factor for survival post-MI, the cardiac team refer him to you.

His current medicines are:

Aspirin 75mg od

Atenolol 100mg 0d

Simvastatin 10mg od

Enalapril 10mg od

  • The hospital formulary states that fluoxetine 20mg should be prescribed if all factors are equal. Is this a good choice?
  • Can you suggest an alternative if this is not the case?
  • What are the recommendations about SSRIs in relation to cardiotoxicity?
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