Can fluoxetine (Prozac) help with depression?
A patient has been taking fluoxetine [Prozac] for 2 years and reports feeling cured of depression. The nurse learns that the patient is sleeping well, participates in usual activities, and feels upbeat and energetic most of the time.
What is fluoxetine used to treat?
Fluoxetine is an antidepressant medication that works in the brain. It is approved for the treatment of major depressive disorder (MDD), obsessive compulsive disorder (OCD), panic disorder, bulimia nervosa, and premenstrual dysphoric disorder (PMDD). Symptoms of depression include: Loss of interest or pleasure in your usual activities
How long after stopping fluoxetine can I take Prozac?
You must wait at least 14 days after stopping an MAO inhibitor before you can take Prozac. You must wait 5 weeks after stopping fluoxetine before you can take thioridazine or an MAOI. Some young people have thoughts about suicide when first taking an antidepressant.
Which antidepressant has been prescribed to a 77 year old client?
A tricyclic antidepressant has been prescribed to a 77-year-old client whose current medication regimen includes omeprazole, captopril, calcium carbonate, alendronate, and warfarin. What assessment should the nurse prioritize when monitoring the client for drug-drug interactions? Assessment of the client's behaviors and thought processes
How would you describe the action of fluoxetine prozac to a patient?
It may also reduce the urge to perform repeated tasks (compulsions such as hand-washing, counting, and checking) that interfere with daily living. Fluoxetine may lessen premenstrual symptoms such as irritability, increased appetite, and depression. It may decrease binging and purging behaviors in bulimia.
How does fluoxetine work on depression?
Fluoxetine is in a class of medications called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.
What are the most common side effects of fluoxetine?
The more common side effects of fluoxetine can include:strange dreams.decreased sex drive and trouble having an orgasm.decreased appetite.anxiety and nervousness.weakness.diarrhea.dry mouth.indigestion.More items...
What is the action of fluoxetine?
Fluoxetine exerts its effects by blocking the reuptake of serotonin into presynaptic serotonin neurons by blocking the reuptake transporter protein located in the presynaptic terminal. Fluoxetine also has mild activity at the 5HT2A and 5HT2C receptors.
What is the difference between Prozac and fluoxetine?
Prozac is a selective serotonin reuptake inhibitor (SSRI). Prozac is the brand name for fluoxetine. It is used to treat depression, OCD, and premenstrual dysphoric disorder in adults and children over 8 years old. It can also treat depressive episodes of bipolar I disorder.
Why is Prozac so effective?
As an SSRI, Prozac works by preventing the brain from reabsorbing naturally occurring serotonin. Serotonin is involved in mood regulation. In this way, Prozac helps the brain to maintain enough serotonin so that you have a feeling of well-being, resulting from improved communication between brain cells.
What are rare side effects of fluoxetine?
RareAnxiety.cool pale skin.difficulty with concentration.drowsiness.dryness of the mouth.excessive hunger.fast or irregular heartbeat.headache.More items...•
What does fluoxetine interact with?
The major fluoxetine-drug interactions involve the amino acids L-dopa and L-tryptophan, anorexiants, anticonvulsants, antidepressants, anxiolytics, calcium channel blockers, cyproheptadine, lithium salts, and drugs of abuse.
Is fluoxetine side effects normal?
It happens rarely (in less than 1 in 100 people), but some people may have serious side effects when taking fluoxetine. Book an appointment with your doctor if you: gain weight gain or lose weight without trying. get changes in your periods such as heavy bleeding, spotting, or bleeding between periods.
What is the indication of fluoxetine?
Fluoxetine is indicated for both acute and maintenance treatment of major depressive disorder, obsessive compulsive disorder, and bulimia nervosa; however, it is only indicated for acute treatment of panic disorder independent of whether agoraphobia is present.
Before Taking This Medicine
Do not use Prozac if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarbo...
How Should I Take Prozac?
Take Prozac exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change your dose....
What Happens If I Miss A Dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...
What Should I Avoid While Taking Prozac?
Drinking alcohol can increase certain side effects of Prozac.See also: Prozac and alcohol (in more detail)Ask your doctor before taking a nonsteroi...
What Other Drugs Will Affect Prozac?
Taking Prozac with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before taking...
What is the most appropriate nursing diagnosis for the patient taking fluoxetine?
Rationale: The most appropriate nursing diagnosis for the patient taking fluoxetine is social isolation. Impaired physical mobility, impaired urinary elimination, and disturbed sensory perception are not associated with fluoxetine.
What medication is ordered for reactive depression?
A patient with reactive depression is ordered to receive fluoxetine (Prozac). Which information will the nurse include when teaching this patient?
Why is amitriptyline given at night?
TCAs are given at night to minimize problems caused by their sedative action. The onset of the antidepressant effect of amitriptyline is 1 to 4 weeks. Orthostatic hypotension is a common side effect of amitriptyline (Elavil).
What Is Fluoxetine And What Does It Treat?
It is approved for the treatment of major depressive disorder (MDD), obsessive compulsive disorder (OCD), panic disorder, bulimia nervosa, and premenstrual dysphoric disorder (PMDD).
What Is The Most Important Information I Should Know About Fluoxetine?
Do not stop taking fluoxetine, even when you feel better. With input from you, your health care provider will assess how long you will need to take the medicine.
What Happens If I Miss A Dose Of Fluoxetine?
If you miss a dose of fluoxetine that you take daily, take it as soon as you remember, unless it is closer to the time of your next dose. If you take fluoxetine once weekly, take it as soon as possible, then go back to your regular schedule the next week. Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed.
What Should I Avoid While Taking Fluoxetine?
Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications. They may decrease the benefits (e.g., worsen your condition) and increase adverse effects (e.g., sedation) of the medication.
What Are The Possible Side Effects Of Fluoxetine?
Headache, nausea, diarrhea, dry mouth, increased sweating, feeling nervous, restless, fatigue, or having trouble sleeping (insomnia). These will often improve over the first week or two as you continue to take the medication.
Are There Any Risks For Taking Fluoxetine For Long Periods Of Time?
To date, there are no known problems associated with long term use of fluoxetine. It is a safe and effective medication when used as directed.
What Other Medications May Interact With Fluoxetine?
These include phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), rasagiline (Azilect®), and selegiline (Emsam®).
What is the nurse's question about a young adult patient who has been taking an antidepressant for several?
The nurse questions further and learns that the patient has attempted suicide more than once in the past. The patient identifies a concrete plan for committing suicide.
How long ago did a patient last have depression?
The patient's weight has returned to normal. The patient reports last having symptoms of depression at least 9 months ago .
How long after a drug is used can you add another?
Adding a second medication, changing to a different medication, and increasing the dose of this medication should all be reserved until the current drug is deemed to have failed after at least 4 weeks.
What does "change medication" mean?
a. changing the medication to another drug class.
How long does it take for depression to go away?
For a diagnosis of major depression, these symptoms must be present most of the day, nearly every day, for at least 2 weeks. Grief and sadness and situational depression are common responses to the death of a loved one, but this patient's symptoms go beyond this normal response.
How long does it take for a person to show signs of depression?
For a diagnosis of major depression, these symptoms must be present most of the day, nearly every day, for at least 2 weeks. Grief and sadness and situational depression are common responses to the death of a loved one, but this patient's symptoms go beyond this normal response. This patient does not show signs of hypomania.
Is indefinite drug therapy necessary to maintain remission?
a. Indefinite drug therapy is necessary to maintain remission.
What is the best medication for bipolar?
One major drug used to treat bipolar disease is lithium. Because lithium has a narrow therapeutic range, it is important to recognize symptoms of toxicity, such as:
Why is Dwayne's carbamazepine low?
The possible cause for the low carbamazepine levels include: 1. Dwayne hasn't been taking his carbamazepine because it causes insomnia. 2. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance. 3. Dwayne was not originally prescribed the correct amount of carbamazepine. 4.
What is Suzanne on?
Suzanne is started on paroxetine (Paxil), a selective serotonin reuptake inhibitor (SSRI), for depression. Education regarding her antidepressant includes:
Why is Sook taking gabapentin?
Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having "strange" thoughts. The appropriate initial action would be:
How to counter the effects of topiramate?
Tell her to increase her caloric intake to counter the effects of the topiramate.
Can you drive with sedation?
The medication may cause sedation and they should not drive.
Did Dwayne prescribe carbamazepine?
Dwayne was not original ly prescribed the correct amount of carbamazepine.
What is Zoloft prescribed for?
47. The primary care NP has prescribed sertraline (Zoloft) for a patient who initially reported daily symptoms of hopelessness, sadness, insomnia, and weight loss. After several months of therapy, the patient no longer feels hopeless or sad but continues to have difficulty eating and sleeping. The NP should contact the patient's psychiatrist to discuss
Is Concerta a stimulant?
Concerta is a long-acting stimulant, and children taking it can avoid having to take a doseof medication at school. The other choices are shorter acting and may require dosing during school
Is atomoxetine a stimulant?
Atomoxetine is not a stimulant medication but is thought to be as effective as stimulant medications. It is the only nonstimulant treatment approved by the U.S. Food and Drug Administration for AD/HD that has been shown to be safe, well tolerated, and efficaciousin the treatment of children.
Can depression be a cause of bereavement?
Bereavement over the loss of a loved one may be associated with symptoms of major depression. Although only 17% of these patients receive pharmacologic treatment, 94% of symptoms have been found to resolve in 13 months or less. Bereavement counseling should be the first step. Pharmacologic treatment may be warranted if symptoms do not improve. This patient has a clear cause for depression. It is not enough to reassure the patient that the symptoms will resolve because this belittles their concern
Should the physician increase the dosage of the medication?
A) The physician should increase the dosage of the medication.
Is depression a syndrome?
It has been postulated that depression may be a syndrome that reflects either activity or lack of activity in what areas of the brain? (Mark all that apply.)