Depression

Question 1

Once starting an SSRI, how long should it be continued for?

Answer 1

At least 6 month

Question 2

When a patient is on a NSAID, can a SSRI be prescribed?

Answer 2

Not ideal, but if needs to be add a PPI

Question 3

Patients who are on warfarin/ heparin, what should be given first line for depression

Answer 3

Mirtazapine

Question 4

Why are triptans and SSRIs dangerous together

Answer 4

Increased risk of SS

Question 5

When should a pt be reviewed after starting an SSRI

Answer 5

2 weeks if low risk

1 week if high risk of suicide or under 30

Question 6

Over what period should an SSRI be stopped (except which drug)

Answer 6

4 weeks

Fluoxetine

Question 7

Risks of SSRI in pregnancy

Answer 7

1st T: small risk of CHD

3rd T: small risk of pulmonary hypertension

Question 8

When should SSRIs be taken and why

Answer 8

In the morning as can be alerting

Question 9

First and second line drug treatment for GAD

Answer 9

SSRI (sertraline)
Another SSRI
SNRI (example: duloxetine or venlafaxine)