A 62-year-old man is reviewed in the cardiology clinic eight weeks after an anterior myocardial infarction. He meets criteria for a moderate depressive episode and agrees to start a drug. His echocardiogram shows a left ventricular ejection fraction of 34 per cent. His electrocardiogram shows a corrected QT interval of 486 ms. His blood pressure is 162/96 mmHg despite three agents. He has put on 9 kg since the infarct and his glycated haemoglobin has risen to 8.4 per cent. At 19 he was admitted after swallowing a bottle of his mother's tablets. Which one of the following antidepressants is most suitable for him?
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Filed under psychiatry › psychiatry › depressive-and-anxiety-conditions › antidepressants

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