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PMHNP MH701 week 2 Test with Questions Solved 100% Correct (Verified Solutions)
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PMHNP MH701 week 2 Test withQuestions Solved 100% Correct (Verified
Solutions)
Factors favoring treatment with an antidepressant - Answer 1. Agitation
2. Problems with sleep and/or appetite
3. history of response to antidepressant
4. patient preference and
5. moderate to severe symptoms.
For most patients, the initial therapy for depression if no anxiety component - Answer
SSRI, SNRI, bupropion (Wellbutrin) a dopamine-reuptake inhibitor or
mirtazapine(Remeron) an alpha2 Antogonist
SNRI or TCA - Answer should be considered for pain
mirtazapine (Remeron) - Answer for patients with loss of appetite, weight loss, and/or
insomnia. _____ does increase appetite but somnolence may be an issue at lower doses.
With higher doses of _______ somnolence is not a side effect.
SSRIs from most energizing to most sedating: - Answer Fluoxetine (Prozac),
Sertraline (Zoloft), Citalopram (Celexa), Escitalopram (Lexapro), Paroxetine (Paxil).
When treating depression w/ anxiety - Answer Use a less energizing SSRI, Venlafaxine
(Effexor) or Duloxetine (Cymbalta)
, Vilazodon (Vilbryd)
If you use Fluoxetine in a patient w/ anxiety be sure to start low and titrate slowly to
avoid activation of anxiety
Avoid Wellbutrin as this is too activating and can cause increased anxiety.
The most common clinical mistake leading to an unsuccessful trial of an antidepressant
drug is - Answer the use of too low a dosage for too short a time. Unless adverse events
prevent it, the dosage of an antidepressant should be raised to the maximum
recommended level and maintained at that level for at least 4 or 5 weeks before a drug
trial is considered unsuccessful.
For a reduction in sexual side effects which are common with SSRIs, - Answer SNRIs and
TCAs, bupropion is recommended
If the antidepressant is working well and you do not want to switch to bupropion,
this can be added to a SSRI. Other add-ons include buspirone (Buspar) or a
phosphodiesterase inhibitor. (Vardenafil and Udenafil)
SSRI-induced sexual dysfunction in men - Answer Sildenafil (Viagra) does reduce
and tadalafil may reduce (Cialis)
SSRI-induced sexual dysfunction in men and women - Answer whereas bupropion may
be effective in both men and women.
GI side effects Nausea and vomiting are - Answer common with SSRIs and SNRIs;
especially fluoxetine (Prozac), venlafaxine(Effexor) and duloxetine (Cymbalta).
These side effects typically decrease with continued treatment.
GI side effect of Sertraline (Zoloft) - Answer Diarrhea
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