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fluoxetine- SSRI

Anxiety/Depression/Bipolar

TermDefinition
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
Created by: amandalw98
 

 



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