A patient will be starting on fluoxetine hydrochloride (Prozac) therapy and taking 20 mg PO every morning.Which information should the nurse provide to the patient?

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This question requires the application of knowledge about selective serotonin reuptake inhibitors (SSRIs) to a specific plan for medication education.To reduce nausea,the patient should be advised to take the medicine with meals.When teaching patients who are taking tricyclic antidepressants (TCAs),one must emphasize that patients should dangle their legs over the bed and change positions slowly to prevent postural hypotension.It is also advisable for patients to increase fluids,exercise,and roughage intake to prevent the anticholinergic effects of antidepressants.Foods that contain tyramine (e.g.,Chianti,nuts,cheese) are prohibited when patients are taking monoamine oxidase inhibitors (MAOIs).The primary synaptic activity for SSRIs is to inhibit the reuptake of 5-HT.The possible clinical effects of 5-HT include the following: gastrointestinal (GI) disturbances and sexual dysfunction.Fluoxetine hydrochloride (Prozac),an SSRI that is usually administered in the morning to reduce the potential of a side-effect profile that is 2+ for insomnia/agitation,also demonstrates a 3+ for GI disturbances.

A Patient Will Be Starting on Fluoxetine Hydrochloride (Prozac) Therapy