Scenario

A 46-year-old male with depression was prescribed fluoxetine, bupropion, and alprazolam for sleep. He reported poor sleep and persistent depressive symptoms.

Challenge

Simplifying therapy and improving efficacy.

Pharmacist Intervention

Pharmacist suggested tapering alprazolam and starting mirtazapine for its sedative properties and antidepressant effects.

Outcome

Improved sleep and depressive symptoms with a simplified regimen.

Lesson

Simplifying regimens can improve outcomes and reduce risks associated with polypharmacy.