MCQ Psychiatry 23

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You diagnose depression in a 17-year-old white male and prescribe bupropion (Wellbutrin XL). He returns for a follow-up visit 4 weeks later. He now reports less despondency, but says he has developed severe insomnia. He also tells you that his mind "races" all the time, and that he has received two speeding tickets in the past 2 weeks.

Which one of the following would be appropriate now?

A) Substitute sertraline (Zoloft) for the bupropion
B) Add valproate (Depakote)
C) Add alprazolam (Xanax)
D) Add imipramine (Tofranil) at bedtime
E) Add haloperidol (Haldol)


Category: Psychiatry MCQs



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