QuestionAugust 18, 2025

Scenario: A 38-year-old male diagnosed with major depressive disorder is started on paroxetine. He reports feeling more agitated and restless. Question: What is the most appropriate next step? Increase the dose of paroxetine Switch to fluoxetine Reduce the dose of paroxetine Add a benzodiazepine

Scenario: A 38-year-old male diagnosed with major depressive disorder is started on paroxetine. He reports feeling more agitated and restless. Question: What is the most appropriate next step? Increase the dose of paroxetine Switch to fluoxetine Reduce the dose of paroxetine Add a benzodiazepine
Scenario: A 38-year-old male diagnosed with major depressive disorder is started on
paroxetine. He reports feeling more agitated and restless.
Question: What is the most appropriate next step?
Increase the dose of paroxetine
Switch to fluoxetine
Reduce the dose of paroxetine
Add a benzodiazepine

Solution
4.1(108 votes)

Answer

Reduce the dose of paroxetine Explanation 1. Identify the side effect Paroxetine can cause agitation and restlessness as a side effect, especially at higher doses or during initial treatment. 2. Determine appropriate action Reducing the dose of paroxetine may alleviate these side effects while maintaining some therapeutic benefit.

Explanation

1. Identify the side effect<br /> Paroxetine can cause agitation and restlessness as a side effect, especially at higher doses or during initial treatment.<br /><br />2. Determine appropriate action<br /> Reducing the dose of paroxetine may alleviate these side effects while maintaining some therapeutic benefit.
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