Efficacy and relatively mild side effect profile

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Medication recommendation for MDD would begin with the first-line SSRIs. It is commonly used due to their efficacy and relatively mild side effect profile. Examples of SSRIs include fluoxetine, sertraline and citalopram. Fluoxetine would be the first choice of the three to start because of it is the most effective and has the longest half-live of all SSRIs. However, if she is not responding to one SSRIs, safety precautions must take in consideration when switching to another serotonergic drug, it is critical to wait at least one week to avoid serotonin syndrome, a serious condition caused by excess serotonin. If desired effect is not reached with SSRIs, switching to SNRIs may be considered as the next step. Regular follow-up is important to assess the effectiveness of mediation, side effects, and overall mental health stability and make necessary adjustments.

Reference no: EM133832788

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