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The PMHNP is seeing a 19-year old female with a diagnosis of Generalized Anxiety Disorder and history of epilepsy. The patient inquires about switching from Lexapro 20mg qd to Wellbutrin, as she would like to address smoking cessation and anticipates increased anxiety when decreasing cigarette use. The PMHNP’s patient teaching includes: a. That Wellbutrin is a valid option due to clinical trials demonstrating efficacy in treating vegetative depression b. That Wellbutrin is highly teratogenic and contraceptive methods should be explored collaboratively c. That Wellbutrin has demonstrated efficacy in smoking cessation but could ultimately trigger greater anxiety symptoms d. That Wellbutrin is not recommended for patients with a history of eating disorders.
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