43-year-old man with generalized anxiety disorder - hopeofglory87

[ArchivalUser]

A 43-year-old man with generalized anxiety disorder comes to the clinic for medication. He has taken sertraline in the past but discontinued it because it was œruining his sex life. He then tried gabapentin, which helped somewhat with his anxiety; however, he needed to take high doses, which meant taking many pills during the day, which was œtoo annoying. He is willing to take something œstronger but is scared because of his past experiences. He has no other medical problems and takes no medications at this time. Physical examination is unremarkable. In order to treat his symptoms and avoid the sexual side effects, which of the following is the most appropriate pharmacotherapy?

A. Buspirone
B. Nefazodone
C. Venlafaxine
D. Nortriptyline
E. Paroxetine

[ArchivalUser]

aa

[ArchivalUser]

a?

[ArchivalUser]

A.

[ArchivalUser]

AA

[ArchivalUser]

Buspirone (choice A) is an antianxiety agent that is mostly used only in conjunction with antidepressants for treatment of comorbid depression and anxiety. Decreased libido was associated with its use, but it didn™t affect performance in premarketing trials. It is usually not used as the sole agent of choice.

A incorrect

[ArchivalUser]

E...

[ArchivalUser]

nefazodone

[ArchivalUser]

Not E
Paroxetine (choice E) is an SSRI that is approved for treatment of anxiety disorders but does affect sexual performance, especially ejaculation

[ArchivalUser]

Then D is different..

So lets see D