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I had a 15 yo pt present to the ED...in private car, with a wide complex tachycardia at a 
rate of 223.  He was stable.  This was his 3rd episode of "rapid HR" in the last 3 weeks, the 
previous two he did not tell his parents and they resolved spontaneously.  This time his 
mom observed diffuse sweating and paleness.
He had recently started wellbutrin for depression (3-4 weeks prior)  He was otherwise 
healthy except for a small ASD that had been previously followed by cardiology.  He denied 
drug use and UDS was negative. 

How would you have managed this pt and have you seen any such reactions/associations 
with wellbutrin?

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