05-26-2007, 06:27 AM
A 76-year-old retired pharmacist is brought to the health center by his wife, who says, "He's afraid to go to sleep, Doctor. Tell him, Henry." He tells you that he was mugged and assaulted 1 week ago while he was out for a walk early in the morning. The patient proceeds to tell you that he has been having nightmares, not about the assault, but of being in vulnerable situations. He also feels anxious during the day but he is able to leave the house without difficulty. In addition to supportive therapy, which of the following pharmacotherapies is most appropriate to prescribe?
A
) Amitriptyline
B
) Clonazepam
C
) Diphenhydramine
D
) Gabapentin
E
) Risperidone
A
) Amitriptyline
B
) Clonazepam
C
) Diphenhydramine
D
) Gabapentin
E
) Risperidone