A client is taking fluoxetine (Prozac) and wonders if adding St. John's wort would help. Knowing that St. John's wort acts similar to selective serotonin reuptake inhibitors (SSRIs), you are concerned that by taking both your client may develop:

Question

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St. John's wort acts similar to SSRIs by increasing serotonin levels in the brain. Taking both Prozac and St. John's wort together can lead to a dangerous condition called serotonin syndrome, which can cause symptoms such as agitation, confusion, rapid heart rate, high blood pressure, and dilated pupils. Therefore, it is not recommended to combine these two medications without consulting a healthcare professional.

A Client Is Taking Fluoxetine (Prozac) and Wonders If Adding