Scott is a 70-year-old man that is
Scott is a 70-year-old man that is taking citalopram 40 mg daily. You discuss changing citalopram to another medication or decreasing the dose. He is hesitant to change medications since citalopram works for him. You end up decreasing his dose to 20 mg/day. He asks why you are wanting to change his medication or lower his dose. Which of the following reasons is the main reason you made the decision to decrease his dose. A. doses above 40 mg/day increases the patient’s risk of sexual dysfunction B. you want to save the patient money since higher doses are not typically covered by the patient’s insurance plan C. a maximum daily dose of 20 mg is recommended in patients > 60 years of age due to the risk of QT prolongation D. doses above 20 mg can cause insomnia
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