Client/family Education related to Antidepressants

Client/family Education related to Antidepressants

  • Continue to take medication for 4 weeks.
  • Do not discontinue medication abruptly.
  • Report sore throat, fever, malaise, yellow skin, bleeding, bruising, persistent vomiting or headaches, rapid heart rate, seizures, stiff neck, and chest pain to physician.
  • Avoid foods and medications high in tyramine when taking M A O I’s. These include
  • Aged cheese, Wine; beer, Chocolate; colas, Coffee; tea, Sour cream; yogurt, Smoked and processed meats, Beef or chicken liver, Canned figs, Caviar, Raisins, Pickled herring, Yeast products, Broad beans, Soy sauce, Cold remedies, Diet pills

Serotonin Syndrome

  • Can be caused by ingesting 2 different SSRIs such as sertraline (Zoloft) & paroxetine (Paxil) at the same time
  • Symptoms include any or all –
    • Confusion, Agitation, Tachycardia, Hypertension, Nausea, Abdominal pain, Myoclonus, Muscular rigidity, Fever, Diaphoresis, Tremoring

Pharmacogenomics

  • Between 30 and 50% of patients do not respond to first antidepressant prescription.
  • A study is needed to identify benefits of routine testing, cost effectiveness, and ability to provide timely results.