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A 33-year-old woman is reviewed six weeks after the birth of her first child. She has persistent low mood, early morning waking, poor concentration and guilt at not enjoying her baby, and meets criteria for a moderate depressive episode. There are no psychotic symptoms and no suicidal ideation. She is exclusively breastfeeding and is determined to continue. She has never taken an antidepressant. She sleeps in short blocks and does all the night feeds alone while her partner works away. Which one of the following antidepressants is most appropriate to start?
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