A 45-year-old woman is started on Fluoxetine 20mg OD for depression. After 1 week, she reports increased anxiety and agitation. Her mood remains low. ...

Question

A 45-year-old woman is started on Fluoxetine 20mg OD for depression. After 1 week, she reports increased anxiety and agitation. Her mood remains low. What is the most appropriate management?

Accepted Answer

Continue Fluoxetine at the current dose and review in 1 week, providing support

Answer

Stop Fluoxetine immediately

Answer

Increase Fluoxetine to 40mg OD

Answer

Switch immediately to Mirtazapine

Answer

Add regular Diazepam

ukmla MCQ (SBA): SSRI Initiation Side Effects

A 45-year-old woman is started on Fluoxetine 20mg OD for depression. After 1 week, she reports increased anxiety and agitation. Her mood remains low. What is the most appropriate management?