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In the past, Mr Warchowskis depressive episodes have been successfully treated with amitriptyline. Would it be appropriate to treat Mr Warchowski with amitriptyline this time, given his other medication.

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Authored by Dr. Rodolfo L. Rodriguez, OD

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Cytarabine is a pyrimidine analogue, which is incorporated into both RNA and DNA and interferes with the action of DNA polymerase. Cytarabine is used to treat leukaemia.

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Given Mrs Singletons aversion to taking steroids, what could you say about their use to reassure her. Do you think this patient would be suitable for supplementary prescribing with a clinical management plan and why.

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