A 28-year-old pregnant patient comes to the clinic seeking a new prescription for sertraline (Zoloft). Which new information would indicate a need to modify the patient's treatment plan?
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BThe patient reports experiencing mild nausea with this medication.
CThe patient reports a history of a panic attack 6 months ago.
DA new prescription for propranolol
✓ Correct answer: A. A new diagnosis of bipolar disorderAnswer: A new diagnosis of bipolar disorder Using sertraline (Zoloft), which is a selective serotonin reuptake inhibitor (SSRI), in a patient with bipolar disorder can precipitate manic or hypomanic episodes. It's crucial to identify and manage bipolar disorder appropriately before prescribing SSRIs. Mild nausea is a common side effect of sertraline, but it usually resolves within a few weeks of starting the medication. A history of a panic attack is not a contraindication for using sertraline; in fact, it is often prescribed for panic disorders. Sertraline has no contraindicated interactions with propranolol, a beta-blocker typically used to manage hypertension and anxiety.
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