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Why Is the Selective Serotonin Reuptake Inhibitor (SSRI) Zimelidine (Zelmid)

Question 40

Multiple Choice

Why is the selective serotonin reuptake inhibitor (SSRI) zimelidine (Zelmid) no longer in clinical use and instead, the SSRI fluoxetine (Prozac) so widely prescribed?


A) Zelmid has a very low binding affinity for selective serotonin reuptake inhibitors; Prozac has a very strong binding affinity.
B) Zelmid was withdrawn from the market because of adverse effects; Prozac is one of the safest antidepressants.
C) Zelmid was found to increase norepinephrine levels in addition to serotonin; Prozac selectively increases serotonin levels.
D) Zelmid is habit forming; Prozac is not habit forming.

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