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Case 2 – Anxiety LM is a 42-year-old male presenting for his annual physical. PMH includes hypertension, hyperlipidemia, and seasonal allergies. Vitals BP: 148/86 Pulse: 92 bpm Temp: 98.6 F SpO2: 98% Weight: 202 lbs Height: 5’11” GAD-7: 12 Medications: Amlodipine 10 mg daily Valsartan 160 mg daily Rosuvastatin 40 mg daily Cetirizine 10 mg daily Labs: Na 141 K 4.2 SCr 0.82 LM reports that over the last year he has started to feel anxious more frequently. He tells you that he doesn’t feel like he is able to stop worrying about various stressors in his life like work. But even at home he has trouble relaxing most days and feels restless, finding it hard to sleep at night. He has tried to control these feelings, but it seems like it is only getting worse. Some days he does not even know what is making him feel anxious. Denies panic attacks. He has friends who take medication for anxiety and he asks you if this is something he can try. He has heard good things about alprazolam (Xanax) and wonders if he can start that. 1. What medication do you start for LM today? Provide your rationale for this
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