A patient who has received Citalopram 40 mg/day for 2 weeks forthe treatment of depression complains that the medication is notworking and would like to be switched to another agent. What is theappropriate recommendation?
1.Provide the patient with some information on Monoamine oxidaseinhibitors (MAOI) and cal the physician to recommend switching thepatient to Phenezine.
2 Encourage the patient to continue with the current regimen,and inform him or her that it may take 4-6 weeks before the fullresponse is evident.
3.recommend switching to mirtazapine because of therapeuticfailure with citalopram.
4.Recommend adding lithium to augment the current regimen.