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Diane M. Janowicz, MD

Diane M. Janowicz, MD

Indiana University School of Medicine

Core Faculty

Assistant Professor of Clinical Medicine
Indiana University School of Medicine
Indianapolis, Indiana

131 Steuart St, Suite 500, San Francisco, CA 94105

Phone: (415) 544-9400 | info@iasusa.org

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Practice Question of the Week

May 23, 2022: Treating Depression in People With HIV

A 38-year-old man diagnosed with HIV comes to the office expressing passive suicidal ideation. During the past 6 weeks, he has experienced fatigue, loss of interest in usual activities, a 7-kg (15-lb) weight loss, and insomnia. He is diagnosed with a major depressive episode. Which of the following is NOT true regarding his depression treatment?
- A. Beginning a low dose of antidepressant reduces the risk of adverse effects
- B. Escalating the dose of an antidepressant medication should be avoided
- C. Accepting treatment with antidepressants is associated with greater adherence to antiretroviral medications
- D. More than one antidepressant trial may be needed to achieve remission from depression

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