A 54 year old man has recently been diagnosed with moderate depression

A 54 year old man has recently been diagnosed with moderate depression. He has history of MI
and is suffering from insomnia. What is the drug of choice for him?

  • a. Citalopram
  • b. Lofepramine
  • c. ECT
  • d. Haloperidol
  • e. Diazepam

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Ans. Key is A. Citalopram. [Sertraline is the drug of choice in post MI as citalopram may be a risk factor
for precipitating torsades-de-pointes. But if sertraline is not in option second choice is citalopram and as
the patient has insomnia and citalopram can cause insomnia too, it should be taken in the morning.
where SSRIs are not suitable next choice is mirtazapine].