Final answer:
Citalopram, an SSRI, is often preferred for elderly patients with a history of heart issues due to its cardiovascular safety profile. Bupropion is an alternative with lower risk of sexual dysfunction and weight gain, although caution is advised due to potential increases in blood pressure. Amitriptyline and Doxepin may not be suitable because of their anticholinergic side effects and associated cardiovascular risks.
Step-by-step explanation:
For a 75-year-old woman who has recently recovered from a heart attack and is now experiencing depression, the selection of an antidepressant medication should be done cautiously. Given the choices provided, C. Bupropion or E. Citalopram would likely be the best choices, with a strong consideration for Citalopram. Amitriptyline and Doxepin are tricyclic antidepressants, which have more pronounced anticholinergic side effects and can be problematic for patients with heart issues.
Citalopram is a Selective Serotonin Reuptake Inhibitor (SSRI), which generally has fewer cardiovascular side effects and is often better tolerated in the elderly population. Bupropion may also be a reasonable choice, as it has a lower risk of causing sexual dysfunction and weight gain. However, because it can potentially increase blood pressure, it may not be as preferable for a patient with recent heart issues as Citalopram. It is important to avoid abrupt changes in antidepressant medications without professional assistance and to discuss any concerns with one's physician. Limiting alcohol and refraining from illicit substances is also advised when treating depression.
Since every patient is unique, the final medication choice should take into account the patient's entire medical history, current medications, and potential drug interactions, under the guidance of their physician.