Question

CRITICAL THINKING CASE STUDY a 37-vear-old woman, is receiving fluoxetine 20 mg in the ning for depression. ST complains of insomnia and GI upset 1. What could you suggest to ST to help her avoid insomnia? Explain your answer. 2. How might ST avoid GI upset when taking fluoxetine? What food should be avoided? ST states that she does not think the fluoxetine is helping. She states that she has heard about complementary and alternative therapies that may be taken for depression. She has also heard that fluoxetine can be taken weekly. 3. Is ST's fluoxetine dose within normal dosage range? Explain your answer. 4. How would you respond to ST about the use of certain com- plementary and alternative therapies for depression? 5. What would your response be concerning the use of fluox- etine in a weekly dose?

Answer 1

1.Some of the ways to avoid insomnia in whole on fluoxetine are

• Encourage to restrict or limit intake of any coffee or drinks in the late evening
• Medications can be taken in the morning time to encourage sleep in the night time
• A warm shower before bed time can improve circulation and ease for sleep
• Avoid heavy meals just before bedtime
• Sedatives can be taken as per the advice of the provider

2.Some of the ways to handle the GI symptoms are

• Encourage to avoid foods that can trigger nausea and vomiting
• Do not overload or eat at a single time
• Encourage to take antacids as prescribed
• Increase fluid intake

3.The usual dosage of fluoxetine for a normal adult is 20mg per day in the initial days.The dose can be increased if the effects does not meet the requirements upto 60 mg .The dose should not exceed more than 80mg/day

4.The complementary medicine and alternative therapies which can be much effective are

• Acupuncture therapy
• Meditation, Yoga ,Relaxation therapy, Massage,Exercise
• Herbal treatments
• Reflexology