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SSRI stand for?
Selective Serotonin Reuptkae Inhibitor
What is the generic name?
Fluoextine
What is the brand name?
Prozac
Is this a CNS Stimulate or depressor?
Stimulate
What are some major concerning side effects with this medication? (4)
suicidal thoughts, increased agitation/insomia & sexual dystfunction
What is a FATAL syndrome to that this med can cause, its first sign being a change in LOC?
serootnin syndrome
WHat is the black box warning that comes with SSRI’s?
increase risk of suicide attempt (due to increase energy)
What is this an eg of ?
A 24-year-old woman presents to the emergency department with agitation, confusion, and muscle stiffness. She has a history of depression treated with sertraline. Three days ago, she began taking tramadol for back pain prescribed at an urgent care clinic.
On examination, her temperature is 39.4°C (103°F), heart rate is 120 bpm, and blood pressure is 165/95 mmHg. She appears restless and diaphoretic. Neurologic examination reveals hyperreflexia and inducible clonus in the lower extremities. Tremor is also noted.
serotonin syndrome
Are SSRI’s the preferred antidepressant, and why?
YES due to less side effects than the others
Usually, antidepressants take weeks to work, but how long do SSRI’s take SPECIFICALLY?
4-6 weeks
How many weeks dose it take to increase the dose? (if needed)
3 weeks