A 67-year-old man comes to the physician because of insomnia, irritability, and palpitations for 3 months. He is currently taking amiodarone for cardiac arrhythmias, fluoxetine for depression, and enalapril for hypertension. His blood pressure is 130/70 mm Hg, and his pulse is 90/min and regular. Which of the following is the most appropriate next step? (A) Measurements of thyroxine and TSH (B) Administration of propranolol (C) Referral for psychiatric consultation (D) Substitution of antidepressant drug (E) Substitution of antihypertensive drug
Posted on: Tue, 01 Jul 2014 05:56:19 +0000
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