She is open to trying an antidepressant although is concerned about their common side effects and requests that she is prescribed one that has no sedating properties, minimal weight gain and no sexual dysfunction.
The working diagnoses for this case are Major Depressive Disorder, single episode, and Generalized Anxiety Disorder. Because of a history of a positive response from a biological relative, an SRI would make the most sense.
Flu-like symptoms include headache, muscle ache, chills, fatigue and fever.
According to the American Academy of Family Physicians, discontinuation symptoms are mild and may last one to two weeks.
She has no medical problems and does not take any other medications.
She is very active physically and tries to manage her stress through exercise and thus stays very fit.
Extended-release venlafaxine has recently been approved by the U. Food and Drug Administration for the treatment of generalized anxiety disorder.
The following is general information regarding beginning treatment.Therapy has been slow due to her symptoms of depression which include lack of energy and motivation, irritability, social withdrawal, and insomnia.She has feelings of hopelessness but no suicidal ideation.This means that the dose must be gradually lowered over time to avoid side effects.Flu-like symptoms are common in patients who stop sertraline abruptly.The choice of antidepressant drug depends on the agent's pharmacologic profile, secondary actions, and tolerability.