Pharmacology Antidepressants #4

Question

The nurse identifies which antidepressants as selective serotonin reuptake inhibitors (SSRIs)? Select all that apply.

Answers

  1. Sertraline
    • Rationale:

      This answer is correct because sertraline is a selective serotonin reuptake inhibitor (SSRI). Other medications in the SSRI classification include fluoxetine and citalopram. SSRIs are prescribed to treat major depression and anxiety. Possible side effects of SSRIs include nausea, drowsiness, dry mouth, insomnia, dizziness, sexual dysfunction, and serotonin syndrome. As with most antidepressants, the medication may take 2-6 weeks for the medication to become effective. Therefore, the depressed client should be carefully watch

  2. Fluoxetine
    • Rationale:

      This answer is correct because fluoxetine is a selective serotonin reuptake inhibitor (SSRI). Other medications in the SSRI classification include sertraline and citalopram. SSRIs are prescribed to treat major depression and anxiety. Possible side effects of SSRIs include nausea, drowsiness, dry mouth, insomnia, dizziness, sexual dysfunction, and serotonin syndrome. As with most antidepressants, the medication may take 2-6 weeks for the medication to become effective. Therefore, the depressed client should be carefully watched the first few week

  3. Amitriptyline
    • Rationale:

      This answer is not correct because amitriptyline is in the tricyclic antidepressant (TCA). Other medications in this class of antidepressants include nortriptyline, protriptyline, and imipramine. TCAs are prescribed to treat various conditions including depression, obsessive-compulsive disorder, and enuresis.

  4. Duloxetine
    • Rationale:

      This answer is not correct because duloxetine is a serotonin and norepinephrine reuptake inhibitor (SNRI) antidepressant. Other medications in the SNRI antidepressant class include venlafaxine, desvenlafaxine, and milnacipran. This medication is prescribed to treat depression, anxiety, and pain.

  5. Citalopram
    • Rationale:

      This answer is correct because citalopram is a selective serotonin reuptake inhibitor (SSRI). Other medications in the SSRI classification include fluoxetine and sertraline. SSRIs are prescribed to treat major depression and anxiety. Possible side effects of SSRIs include nausea, drowsiness, dry mouth, insomnia, dizziness, sexual dysfunction, and serotonin syndrome. As with most antidepressants, the medication may take 2-6 weeks for the medication to become effective. Therefore, the depressed client should be carefully watched the first few weeks of taking the antidepressant since the client could be at great risk for acting on suicide intentions due to increased energy that occurs at the beginning of treatment.

Overview

Selective serotonin reuptake inhibitors (SSRIs) are antidepressants used to treat major depression and anxiety. Sertraline, fluoxetine, and citalopram are commonly prescribed SSRIs.

Explanation

Learning Outcomes

Selective serotonin reuptake inhibitors (SSRIs) are commonly used antidepressants used to manage anxiety and major depression. Examples of SSRIs are sertraline, fluoxetine, and citalopram. Side effects associated with SSRIs include nausea, drowsiness, dry mouth, insomnia, dizziness, sexual dysfunction, and serotonin syndrome. The nurse should be familiar with these common antidepressants and monitor for side effects frequently associated with the medication. As with most antidepressants, the medication may take 2-6 weeks for the medication to become effective. Therefore, the depressed client should be carefully watched the first few weeks of taking the antidepressant since the client could be at great risk for acting on suicide intentions due to increased energy that occurs at the beginning of treatment.

Test Taking Tip

Sometimes medications in the same classification will have similar prefixes or suffixes to help the nurse remember and know classes of medications. Use these hints to help remember medication classifications.

Video Rationale