This case is a 43-year-old female diagnosed six months ago with depression and general anxiety disorder. She presented today for a medication follow-up. After being diagnosed with depression, she was started on Zoloft 25 mg daily with the plan to increase it gradually as needed. A few days after starting Zoloft, she started itching. She developed an erythematous rash on her left arm that quickly progressed to other body parts, including her face. She had no previous history of drug allergies. She saw her PCP, had some tests, and determined that Zoloft was causing the skin reaction. Zoloft was discontinued, and the skin was clear after a week. She was started on fluoxetine 20 mg daily; a few days later, the same symptoms appeared. They tried two other SSRIs, and she had the same reaction. They have determined she is allergic to SSRIs and stopped prescribing SSRIs. She was started on propanol 10 mg for anxiety as needed, Abilify, and Remeron for depression. She was seen this visit for three weeks follow-up. She has had no skin reactions or side effects; no medication changes were made.
Discuss why prescribed abilify with Remeron
Analyze SSRIs and skin reaction and why providers should be aware