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Karen is a 57-year-old perimenopausal patient with a history of depression. Her depressed mood seems to be responding to her current treatment with the Selective Serotonin Re-uptake Inhibitors (SSRI) fluoxetine (40 mg/day; however, is having a hard time with hot flashes and night sweats. There are also some residual depressive symptoms being reported. What would be the best treatment strategy would be the best chance for achieving remission?
maintain current fluoxetine dose Switch to a different selective serotonin reuptake inhibitor (SSRI) Decrease the fluoxetine dose switch to a serotonin and norepinephrine reuptake inhibitor (SNRI).
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