GASTROENTEROLOGY ARTICLE OF THE WEEK

March 4, 2010 

Drossman DA.  Beyond tricyclics:  New ideas for treating patients with painful and refractory functional gastrointestinal symptoms.  Am J Gastroenterol 2010;104:2897-2902 

True or False 

1.  SSRI’s should be administered in the morning, TCA’s should be taken at bedtime.  

2.  SNRI’s are preferred over SSRI because of enhanced pain control  

3.  Venlafaxine is preferred over citalopram in patients with a significant anxiety component  

4.  Buspirone is a good option for patients with postprandial early satiety or fullness. 

5.  TCA’s is an attractive option to treat patients with pain and constipation

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