system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 32-year-old man presents with difficulty sleeping and ‘feeling low’ for the past 6 months. Although he denies any suicidal thoughts, he admits to having an occasional feeling of hopelessness and loss of concentration at work. For the last 2 months, he has made excuses to avoid meeting his friends. He got married 1 year ago. The couple plans to try to have a child. He was started on sertraline 3 months ago and says it has not helped his depressive symptoms. He says he has also developed erectile dysfunction since starting the medication, which has been an issue since he and his wife would like to have a child. Past medical history is insignificant. The patient is afebrile and vital signs are within normal limits. Physical examination is unremarkable. Laboratory studies, including thyroid-stimulating hormone (TSH), are within normal limits. When switching drugs, which of the following would be most appropriate for this patient?
assistant
Bupropion