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fluoxetine- SSRI
Anxiety/Depression/Bipolar
Term | Definition |
---|---|
fluoxetine Route | PO |
fluoxetine Action | blocks reabsorption of neurotransmitter serotonin, helps elevate pt’s mood, no effect on norepinephrine or dopamine - less side effects noted |
fluoxetine Uses | depression and associated anxiety, OCD, Bulimia Nervosa (emotional d.o involving distortion of body image), premenstrual dysphoric |
fluoxetine Contraindications | Use of MAOIs or thioridazine |
fluoxetine adverse effects | GI and sexual dysfunction- nausea, diarrhea, weight loss risk of GI bleeding, delayed ejaculation, impaired orgasmic ability in women CNS Stimulation - anxiety, nervousness, insomnia, concurrent DM - have a hypoglycemic effect, serotonin syndrome |
fluoxetine RN considerations | Full response to med may not be seen for 8-12 wks, Essential to assess for suicidal thoughts or plans , can prevent conversion of codeine to its active form- which results in lack of pain relief when drugs used concurrently |