![]() Nurse should switch client to another class of medication, TX with low dose buspirone, advise client to sleep with mouth guard. Serotonin Syndrome: agitation, confusion, disorientation, difficulty concentrating, anxiety, usually begins 2-72 hrs after start of treatment.īruxism: grinding and clenching of teeth, usually during sleep. Late: sexual dysfunction, weight gain, GI bleeding, hyponatremia SE of SSRIs Early: nausea, diaphoresis, tremor, fatigue, drowsiness Therapeutic Uses of SSRIs TX: GAD, panic disorder, OCD, social anxiety disorder, PTSD, and Depressive disorders. The medication has a long effective half life and can take about 4 weeks to produce therapeutic medication levels. It does not block uptake of dopamine or norepinephrine SSRI anti-depressants EX: Paroxetine (Paxil)įluvoxamine (Luvox) Purpose of SSRIs Proxetine selectively inhibits its serotonin reuptake, allowing more serotonin to stay at the junction of the neurons. ![]() Instruct clients that tolerance, dependence, or withdrawal symptoms are not an issue with this medication. It may take a week to notice the first therapeutic effects. ![]() ![]() Contraindications Contradicted for concurrent use with MAOI antidepressants for 14 days after MAOIs are d/c Nursing administration Advise client to take medication with meals to prevent GI upset.Īdvise clients that effects do not occur immediately. ![]()
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