depression in immunocompromised patient with RA
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A 45 year old lady has RA on methotrexate and cyclophosphamide for 2 years. She had developed bilateral papilledema as a drug side effect which was managed with Acetazolamide 2 months back. for the past 2 months she satisfies the criteria for moderate depression. She has no past history of any psychiatric illness. Which class of anti depressant will be suitable for her ? |
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I am not aware of any information that suggests that one antidepressant is superior to another in patients with rheumatic illness or in patients who are on immunosuppressive therapy. You might consult a psychiatrist. |
Last update: 11:34 AM Thursday, April 26, 2007
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Author:
Alan Matsumoto, M.D.
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