Clinic with complaints of increased anxiety and nightmares

Reference no: EM133713511

Question

Tom is a 42-year-old male presenting to your clinic with complaints of increased anxiety, nightmares, hypervigilance, and sweating. He tells you that he recently increased his venlafaxine to 150 mg daily to help with his mood. He has previously failed adequate trials of sertraline and fluoxetine for his MDD, GAD, and PTSD. Medical History Medical History HLD, T2DM, GERD, MDD, GAD, PTSD Allergies Bactrim (hives) Social History Drinks socially Never-smoker Family History unknown (adopted) Home Medication Atorvastatin 40 mg PO QHS Clonazepam 1 mg PO TID PRN anxiety Doxepin 25 mg PO QHS Medical THC tincture daily Metformin 1000 mg PO BID w/ meals Venlafaxine ER 150 mg PO daily Pantoprazole 40 mg PO daily Pertinent Labs and Vitals Weight 80 kg Height 170 cm BP 160/95 mmHg HR 122 BPM BG 120 A1C 6.8% Answer the following questions with the information provided: Why did Tom start having these symptoms with the dose increase of venlafaxine? Would you change any of his existing medications (please address each existing medication and explain why or why not)?

Reference no: EM133713511

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