Atypical Antidepressants
A brand name that begins with Well.
Wellbutrin
One generic name and it's brand name.
fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa), escitalopram oxalate (Lexapro), and paroxetine (Paxil)
A generic name and it's brand name.
venlafaxine (Effexor XR), desvenlafaxine (Pristiq), duloxetine (Cymbalta)
Three foods that contain tyramine.
Aged cheese, sour cream, smoked or processed meat, pickled foods, yogurt, beer, red wine.
Therapeutic use.
Treatment of major depression.
The generic name for Wellbutrin.
bupropion hydrochloride
An adverse drug reaction.
Insomnia, nervousness, sexual dysfunction, headache, weight gain, hyponatremia, increased risk for suicidal ideation in children and young adults, and seritonin syndrome.
Two Adverse Drug Reactions.
Nausea, vomiting, anorexia, headache, hypertension, insomnia, nervousness, and increased risk for suicide in children and young adults.
The therapeutic use.
Depression that hasn't responded to other classes of antidepressants.
Depression in bipolar disorder.
Two adverse reactions.
Drowsiness, sedation, orthostatic hypotension, anticholinergic effects, increased risk for suicide, withdrawal symptoms, and high risk for overdose.
Three adverse drug reactions.
Nausea, vomiting, weight loss, increased risk for seizures, insomnia, agitation, tremor, headache, psychosis, hallucinations, and delusions.
Three signs of Serotonin Syndrome.
mental confusion, difficulty concentrating, fever, agitation, anxiety, hallucinations, incoordination, hyperreflexia, diaphoresis, and tremors.
Withdrawal symptoms with abrupt discontinuation.
anxiety, agitation, headache, and tachycardia.
This is caused by eating tyramine-containing foods while taking an MAOI.
Hypertensive Crisis.
This range of time for therapeutic effects to prevent relapse.
6-12 months
Children and young adults have increased risk for this when taking Atypical Antidepressants.
Suicidal ideation
The length of time it takes for this medication to reach clinical effectiveness.
4-6 weeks
Four things the nurse should monitor and teach the pt to monitor for.
GI, headache, blood pressure, tinnitus, increased depression and suicidal ideation.
Do this when beginning this medication and discontinuing this medication.
Titrate dose.
Instructions to minimize anticholinergic effects.
Urinate before daily dose. Increase fiber and fluids to prevent constipation. Chew gum, suck on hard candy, or sip water to prevent dry mouth.
Therapeutic Use
Treats depression, SAD, and smoking cessation adjunct.
Pt's should report these sexual dysfunctions.
impotence and decreased libido
Name two patient instructions.
Take with food, report headache and take OTC analgesics as needed, regular blood pressure checks, take in the morning, don't stop taking abruptly, and report any worsening of depression or thoughts of suicide.
Two client instructions.
Instruct client to rise slowly from lying or sitting and to lie down with lightheadedness. Report extreme anxiety, insomnia, and agitation. Provide a list of tyramine-containing foods. Take with food if GI symptoms occur.
Teach client this because of the adverse drug reaction of drowsiness and sedation.
Move slowly from lying to sitting or standing and do not drive or perform hazardous activities if drowsy.