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ST, a 37-year-old woman, is receiving fluoxetine 20 mg in the evening for depression. ST complains of insomnia and GI upset.

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1.Insomnia is a side effect of antidepressant medication Some of tte ways to help the patient are

  • Antidepressant medication like Fluoxetine can be taken in the morning after breakfast so that it dies not interrupt sleep in the night time
  • Encourage patient to have dinner before 4 hours to bed time and avoid drinks or snacks at late night
  • Inform patient to avoid drinks which are stimulant like coffee
  • Provide relaxation therapy ,warm bath ,dim light ,noise free area to help in inducing sleep

2.The following foods has to be avoided because taking this can aggravate the levels in the blood

  • Alcohol
  • Caffeinated products
  • Avoid tyramine rich foods

3.The normal recommended dose is 20mg per day or once in a day.This dose is safe dose for ST.The maximum dose is 80mg and not more than that.

4.The patient can be encouraged to use the complementary and alternative therapies as it is ineffective way to overcome the adverse effects of the antidepressant medications.

5.This medication has to be taken once a day daily if 20mg.In case 8f it has to be taken once a week a dose of 90mg(maximum dose ) has to be taken after prescription from the provider. Usually patient with panic disorder are recommended with once a week dose.

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