Categorieën: Alle - anxiety - side effects - nursing - depression

door Courtney Rockwood 6 jaren geleden

208

SSRIs

Selective serotonin reuptake inhibitors (SSRIs) are commonly used to alleviate symptoms of depression by increasing the availability of serotonin in the brain. These medications are also effective in treating conditions such as bulimia, obsessive-compulsive disorders, and panic disorders.

SSRIs

Selective Serotonin Reuptake Inhibitors (SSRIs)

Prototype Drug

Prozac (trade)
fluoxetine (generic)

Med examples

vortioxetine (Brintellix)
vilazodone (Viibryd)
paroxetine (Paxil)
sertraline (Zoloft)
fluoxetine (Prozac)
escitalopram (Lexapro)
citalopram (Celexa)

Nursing Considerations

* use cautiously in adolescents and or depressed/suicidal pts, as suicidal thoughts/actions could increase * avoid use in pts w/impaired renal or hepatic function or diabetes * renal/liver function tests before beginning therapy * do not use an SSRI in combination with a MAOI * do not use an SSRI in combination with St John's wort

Off label uses

generalized anxiety disorder
reducing diabetic neuropathy pain
treatment of migraine

Side Effects/Adverse Effects

insomnia, sweating, pruritis, cough, dyspnea, suicidal ideation, changes in taste, tremor, agitation

Mechanism of Action

Conditions Treated: * depression * bulimia * OCDs * panic disorders
Therapeutic Effects: * ease symptoms of depression * make extra serotonin available to the brain cells
blocks the reuptake of serotonin and increases its concentration in the synaptic cleft.