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Jennifer, a 43 y/o Latino American female with comorbid OCD, anxiety of work-related injury four years ago parents to the PMHNP on the following regimen duloxetine 20 mg daily, oxycodone, and melatonin OTC-PRN insomnia. The patient reports no remission of anxiety, and she reports she has had a pulling her eyelashes out, which has persisted for her the past decade following her divorce. The PMHNP considers which of the following as a medication adjustment? a. Initiating fluoxetine 25 mg daily for one week, titrating to 50 mg week two b. Initiating fluoxetine 20 mg for one week, with plan of titrating to 40 mg week two c. Increasing duloxetine 20mg to 30 mg as maintenance therapy due to interaction with oxycodone d. Increasing duloxetine 20 mg to 30 mg with plan of titrating further to twice daily dosing or once daily depending on patient preference, to address refractory symptoms
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HEALTH SCIENCE
NURSING

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