A 42-year-old man visits his outpatient psychiatrist with complaints of a depressed mood. He states that this condition is identical to depression experienced previously. He was diagnosed with major depression 20 years ago. At that time, he was treated with imipramine, up to 150 mg/day, with good results. During a second episode, which occurred 15 years ago, he was treated with imipramine with remission of symptoms after 4 to 6 weeks. He denies illicit drug use or any recent traumatic events.
He requested the physician against imipramine this time as it produced unacceptable side effects such as dry mouth, dry eyes, and constipation. What would be your management strategy for this patient? What would be your preferred drug of choice? Source : Case Files: Psychiatry ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure…
