SSRI

Question 1

Citalopram

Answer 1

Celexa

Avoid dose more than 40mg/d - cause prolong QT intervals

Elderly: max dose is 20mg per day

Question 2

Types of SSRI?
What are they used for?
How long do we treat for?
Side effects?

Answer 2

1 * caution on suicide risk

OCD, depression and PTSD, anxiety. increases serotonin
takes 4-6 wk for full effectiveness.

Treat till pt feels better and stay on 6m after before appearing.

Decrease libdio and sexual disfunction
increase weight gain

Question 3

Which SSRI is best for General Anxiety and has a quick onset?

Answer 3

Escitalopram (Lexapro)

Question 4

which SSRI is good for OCD and used for pre-menstrual disorders/menopause symptoms. (wt gain and sedation)

Answer 4

paroxetine (paxil)

Question 5

Great for bulimia (wt neutral) pt main complain about feeling jittery.

Answer 5

Prozac- fluoxetine

Question 6

best for the elderly and safety SSRI

Answer 6

Zoloft -sertraline

Question 7

when they start SSRI what do we educate on?

Answer 7

Suicide ideation