Questions and Answers
What is the drug classification of Paxil?
What is the normal dose range for Paxil?
20-40 mg
What pharmacological action does Paxil have?
Inhibits reuptake of serotonin and potentiates the action of serotonin
Which of the following are therapeutic uses of Paxil? (Select all that apply)
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One side effect of Paxil is ______.
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Which of the following are medication or food interactions with Paxil? (Select all that apply)
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What is one nursing intervention for clients taking Paxil?
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Which of the following is a concern regarding nursing administration of Paxil? (Select all that apply)
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What is an evaluation criterion for the effectiveness of Paxil?
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Study Notes
Drug Classification
- Paroxetine is classified as a Selective Serotonin Reuptake Inhibitor (SSRI).
Dose Range
- The typical dosage for paroxetine ranges from 20 mg to 40 mg.
Pharmacological Action
- Paroxetine works by inhibiting the reuptake of serotonin in the brain.
- This action enhances the activity and efficacy of serotonin, a key neurotransmitter.
Therapeutic Uses
- Indicated for treating major depressive disorder.
- Used to manage panic disorder.
- Effective for obsessive-compulsive disorder (OCD) and generalized anxiety disorder.
Side Effects/Adverse Effects
- Risk of neuroleptic malignant syndrome.
- Common side effects include emotional lability, dizziness, drowsiness, confusion, and amnesia.
- Other concerns include chest pain, edema, hypertension, and postural hypotension.
- Gastrointestinal issues may arise, such as constipation, diarrhea, and dry mouth.
- Potential sexual dysfunction and urinary frequency.
- Serious risk of Stevens-Johnson syndrome.
Medication/Food Interactions
- Contraindicated with monoamine oxidase inhibitors (MAOIs) and similar medications.
- Increased effects when combined with CNS depressants and alcohol.
- Interaction with digoxin, aspirin, anticoagulants, and NSAIDs should be monitored.
- Use with caution alongside St. John's Wort and tryptophan.
Nursing Interventions/Client Education
- Regular monitoring of mental status is essential.
- Assess for signs of serotonin syndrome or neuroleptic malignant syndrome.
- Monitor for rash complications and complete blood count (CBC) to check for leukopenia and anemia.
- Advise patients to follow medication instructions closely and manage missed doses appropriately without doubling up.
- Warn against pregnancy and breastfeeding during treatment.
- Encourage participation in psychotherapy.
- Recommend administering with food if gastrointestinal upset occurs.
- If drowsiness is a side effect, suggest taking the medication in the evening.
- Emphasize the importance of adequate fluid intake.
Nursing Administration (Concerns)
- Monitor for hypersensitivity reactions.
- Avoid use in patients taking MAOIs.
- Assess patients for a history of suicide risk, seizures, or bipolar disorder.
- Special considerations for use in pregnant or lactating patients.
- Pediatric patients may experience increased suicidal ideation.
- Caution needed for geriatric patients with renal or hepatic impairment, or those with a history of mania.
Evaluation of Medication Effectiveness
- Indicators of effectiveness include improved sense of well-being.
- Patients may show renewed interest in their surroundings.
- Note that it may take 1 to 4 weeks for the full therapeutic effects to occur.
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Description
Test your knowledge on Paxil, a commonly prescribed SSRI medication. This quiz covers drug classification, dosage, pharmacological actions, therapeutic uses, and side effects. Perfect for students and healthcare professionals wanting to deepen their understanding of this medication.
