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SSRIs

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fluoxetine (Prozac): others citalopram (Celexa), escitalopram oxalate (Lexapro), paroxetine (Paxil), sertraline (Zoloft)
USES: Major depression, OCD, bulimia nervosa, premenstural dysphoric disorders, panic disorders, posttraumatic disorder (PTSD)
Brand names:
Prozac, Celexa, Lexapro, Paxil, Zoloft
Generic names:
fluoxetine, citalopram, escitalopram oxalate, paroxetine, sertraline
A man is complaining of sexual dysfunction, what med is probably taking?
Prozac, Celexa, Lexapro, Paxil! or Zoloft
what the nursing intervention would be for sexual dysfunction side effect?
warn client of possible side effect... medication holiday or using viagra and Buspar... switch to Wellbutrin and Zerzone with less sexual dysfunction side effect
A woman who has morbid obesity, is prescribed Prozac (or Celexa or Lexapro or Paxil or Zoloft) what side effect affects her?
weight gain. Intervention: monitor weight, encourage exercise.
What are the main symptoms of serotonin syndrome?
mental confusion, agitation, anxiety also hallucinations and hyperreflexia tremors.
A man is showing signs of mental confusion, agitation and anxiety. He is taking Celexa (Paxil, Lexapro, Prozac, Zoloft). What side effect syndrome is having?
He is having serotonin syndrome side effect
What teaching is needed about serotonin syndrome?
Teach to notify physician if this syndrome occur and stop medication
After taking Zoloft, the client start having headache, nausea, visual disturbances and anxiety. What kind of side effect syndrome is showing?
he is showing Withdrawal syndrome that is a side effect of Prozac, or Zoloft, Paxil, or Celexa or Lexapro
What does the nurse should teach about withdrawal syndrome?
If this side effect occur, medication should be descontinued gradually. Taper dose gradually.
Who is more prone to hyponatremia when taking Prozac (or Celexa, Zoloft, Paxil, or Lexapro)?
an older adult who is taking diuretics
Which test is needed for an older adult who takes diuretics, when is taking Paxil (or Celexa, Lexapro, Prozac or Zoloft)?
needs a baseline serum sodium periodically while in treatment.
The client is experiencing rash after taking Lexapro (or Prozac, Celexa, Paxil or Zoloft), what intervention is needed from the nurse?
Advise that can be treated with antihistamine or stopping medication.
If a client experiences the side effect of sleepiness, faintness, lightheadedness while taking Paxil (or Prozac, Lexapro, Zoloft or Celexa), what does he should avoid?
Which kind of drugs are contraindicated when taking SSRIs?
MAOIs
fluoxetine
Prozac
citalopram
Celexa
escitalopram oxalate
Lexapro
paroxetine
Paxil
sertraline
Zoloft
What happen if a client taking a SSRIs, take also MAOIs
MAOIs increases the risk of serotonin syndrome
How should be taken SSRIs and MAOIs?
DO NOT ADMINISTER BOTH TOGETHER. MAOIs discontinued 14 before taking SSRIs. If taking SSRIs already, wait 5 weeks to take MAOIs.
what statement shows understanding of MAOIs and SSRIs interaction?
"I will take Lexapro (or Prozac, Zoloft, Celexa or Paxil) after 14 days I discontinued a MAOIs drug"
Which are MAOIs drugs?
phenelzine (Nardil), isocarboxazid (Marplan)
A patient is post-op and is taking fluoxetine (Prozac), what is the risk if warfarin (Coumadin) is ordered?
Prozac could increase warfarin levels (because Prozac displace warfarin from bound protein)
If the patient takes warfarin (Coumadin) and Prozac is ordered, what intervention from the nurse is expected?
Monitor PT and INR levels / assess for bleeding / adjustment of dosage
what interaction have NSAIDs and Lithium with fluoxetine?
Bleeding may occur, teach to monitor and notify physician (fluoxetine supress platelet aggregation)
Is Prozac (fluoxetine) take with food?
Yes
what statement shows understanding of how often Prozac or Celexa, Paxil, Lexapro or Zoloft need to be taken?
daily basis
Mr. Terreck asks, how long will take for me to feel therapeutic effects of Lexapro (Prozac, Celexa, Paxil, Zoloft)? What answer gives the nurse?
Therapeutic effects may not be experienced for 1 to 3 weeks. And continue to take medication, sudden stop may cause relapse.
what does the client do when taking Celexa, Zoloft, Prozac, lexapro or Paxil and resolution of symptoms happened?
keep taking medication for 6 more months and may continue for a year or more.