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Questions and Answers
Which type of antidepressants are most commonly used to treat somatic symptom illnesses?
Which type of antidepressants are most commonly used to treat somatic symptom illnesses?
- Atypical antidepressants
- Tricyclic antidepressants
- Monoamine oxidase inhibitors
- Selective serotonin reuptake inhibitors (correct)
What is the usual dose range for fluoxetine (Prozac) when used to treat somatic symptom illnesses?
What is the usual dose range for fluoxetine (Prozac) when used to treat somatic symptom illnesses?
- 80–120 mg/day
- 20–60 mg/day (correct)
- 150–200 mg/day
- 10–40 mg/day
What is a potential nursing consideration for sertraline (Zoloft) when used to treat somatic symptom illnesses?
What is a potential nursing consideration for sertraline (Zoloft) when used to treat somatic symptom illnesses?
- Monitor for diarrhea and sexual dysfunction (correct)
- Monitor for rash and insomnia
- Monitor for dry mouth and drowsiness
- Monitor for dizziness and sweating
What is recommended for clients with pain disorder to help improve functional abilities?
What is recommended for clients with pain disorder to help improve functional abilities?
What is the primary focus of cognitive-behavioral group therapy for clients with somatic symptom disorder and illness anxiety disorder?
What is the primary focus of cognitive-behavioral group therapy for clients with somatic symptom disorder and illness anxiety disorder?
Which disorder tends to remit in a few weeks but recur in 25% of cases?
Which disorder tends to remit in a few weeks but recur in 25% of cases?
What is the primary reason for caution in older adults when using SSRIs like fluoxetine?
What is the primary reason for caution in older adults when using SSRIs like fluoxetine?
What is a notable adverse effect of fluoxetine in patients with hepatic impairment?
What is a notable adverse effect of fluoxetine in patients with hepatic impairment?
Which condition is fluoxetine effective in treating, according to the text?
Which condition is fluoxetine effective in treating, according to the text?
What is the primary concern regarding the use of fluoxetine in children, adolescents, and young adults?
What is the primary concern regarding the use of fluoxetine in children, adolescents, and young adults?
What is the potential consequence of abrupt termination of SSRIs like fluoxetine?
What is the potential consequence of abrupt termination of SSRIs like fluoxetine?
What is a notable effect of fluoxetine's long half-life?
What is a notable effect of fluoxetine's long half-life?
What is a potential risk of concurrent use of fluoxetine and MAO inhibitors?
What is a potential risk of concurrent use of fluoxetine and MAO inhibitors?
What is a reason for the preference of SSRIs, including fluoxetine, in older adults?
What is a reason for the preference of SSRIs, including fluoxetine, in older adults?
What is a notable adverse effect of fluoxetine, as mentioned in the text?
What is a notable adverse effect of fluoxetine, as mentioned in the text?
What type of therapy was effective for somatic illness or symptoms, according to the text?
What type of therapy was effective for somatic illness or symptoms, according to the text?
What is a contraindication for fluoxetine use?
What is a contraindication for fluoxetine use?
How often do patients typically take fluoxetine?
How often do patients typically take fluoxetine?
What is a potential adverse effect of fluoxetine?
What is a potential adverse effect of fluoxetine?
What is the therapeutic serum level range for fluoxetine?
What is the therapeutic serum level range for fluoxetine?
What enzyme system may fluoxetine affect, leading to drug interactions?
What enzyme system may fluoxetine affect, leading to drug interactions?
What is the recommended timeframe for the full therapeutic effects of fluoxetine to be seen?
What is the recommended timeframe for the full therapeutic effects of fluoxetine to be seen?
Which class of drugs does fluoxetine belong to?
Which class of drugs does fluoxetine belong to?
What is a potential consequence of taking fluoxetine concurrently with codeine?
What is a potential consequence of taking fluoxetine concurrently with codeine?
What should patients be cautious of when taking fluoxetine and other medications?
What should patients be cautious of when taking fluoxetine and other medications?
Who should not receive fluoxetine?
Who should not receive fluoxetine?
Which of the following drugs is NOT in the same class as fluoxetine?
Which of the following drugs is NOT in the same class as fluoxetine?
What should patient teaching guidelines emphasize for antidepressants like fluoxetine?
What should patient teaching guidelines emphasize for antidepressants like fluoxetine?
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Study Notes
Fluoxetine and its characteristics
- Fluoxetine has a long half-life and is not associated with withdrawal symptoms.
- Contraindications include known sensitivity to the drug, use of MAO inhibitors, and thioridazine.
- People who have attempted suicide should not receive fluoxetine.
- Fluoxetine competes with endogenous compounds and other medications for binding sites, leading to potential drug interactions.
- The drug may cause accumulation of other drugs using the CYP2D6 enzyme system.
- Fluoxetine can prevent the conversion of codeine to its active form, resulting in lack of pain relief when used concurrently.
- Patients typically take fluoxetine once daily in the morning with food to avoid GI upset.
- Therapeutic effects of fluoxetine may take 8 to 12 weeks to be fully seen.
- Therapeutic serum levels of fluoxetine range from 100 to 800 ng/mL.
- Adverse effects of fluoxetine include dizziness, headache, insomnia, nausea, and sexual dysfunction.
- Patient teaching guidelines for antidepressants emphasize the importance of taking the medication as directed and not altering doses without consulting a health care provider.
- Other drugs in the same class as fluoxetine include citalopram, escitalopram, paroxetine, sertraline, and vilazodone, each with its own characteristics and precautions.
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