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Questions and Answers
Which of the following are MAOIs? (Select all that apply)
What class of medication is Selegiline?
MAOI
What is Selegiline primarily used for?
Last drug of choice for depression
Which of the following are side effects of Selegiline? (Select all that apply)
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When should Selegiline be taken?
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Which of the following should be monitored when a patient is on Selegiline? (Select all that apply)
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What should be avoided while taking Selegiline? (Select all that apply)
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What should a patient do if a headache occurs while taking Selegiline?
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Tyramine foods should be avoided while taking Selegiline.
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How long does it take for Selegiline to start working?
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Selegiline is considered the first line of treatment for depression.
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What are some special considerations regarding Selegiline? (Select all that apply)
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Study Notes
MAOI Overview
- MAOIs (Monoamine Oxidase Inhibitors) include Phenelzine, Isocarboxazid, Tranylcypromine, and Selegiline.
Selegiline Classification and Usage
- Selegiline is classified as an MAOI.
- It is the last drug of choice for managing depression.
Indications for Selegiline
- Specifically utilized as a final option for patients with depression when other treatments fail.
Side Effects of Selegiline
- Orthostatic hypotension, which can lead to dizziness upon standing.
- Common symptoms include restlessness and insomnia.
- Possible side effects include weakness and gastrointestinal discomfort.
- Patients may experience dry mouth and weight gain.
- Acts as a CNS stimulant, potentially increasing energy levels.
Administration Guidelines
- To minimize insomnia, Selegiline should be taken in the morning.
Monitoring and Assessment
- Regular monitoring of blood pressure is essential due to potential fluctuations.
- Observe for palpitations and other cardiovascular responses.
Cautions and Contraindications
- Avoid caffeine intake, which can exacerbate side effects.
- Steer clear of foods high in tyramine, as they can cause hypertensive crises.
- Advise against taking other medications without medical consultation.
- Caution is warranted with cough medicines.
Patient Education
- Instruct patients to withhold the medication and consult a doctor if a headache occurs.
- Inform that the therapeutic effects can take up to three weeks to manifest.
- Encourage changing positions slowly to prevent dizziness.
Dietary Restrictions
- Strictly avoid tyramine-rich foods to prevent adverse interactions.
Special Considerations
- Selegiline should only be utilized as a last resort due to its potential for severe drug interactions.
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Description
This quiz provides key information on Selegiline, a medication classified as an MAOI, including its uses, side effects, and a list of similar drugs. Perfect for students and professionals seeking to understand this drug's role in treating depression and its associated effects.