NUR 162 HGTC: Nursing Comprehensive
Antidepressants Drug Cards
Psychiatric & Mental Health Nu (Horry-Georgetown Technical College)
,HGTC Nursing Program
Drug Information Sheet
Medication
Generic: citalopram Trade: celexa
Classification: SSRI antidepressant Indications for use: depression
MOA: potentiates serotonin activity in the CNS by inhibiting neuronal uptake or serotonin.
Dosage: 10-40mg Route: PO Frequency: daily
Side Effects: confusion, insomnia, Contraindications: MAOI use within 14 days or
orthostatic hypotension, pimozide
hyponatremia,tachycardia, NMS,
serotonin syndrome, prolong QT
interval
Nursing Considerations: drug should Patient Teaching: recognize and report s/s of:
not be given above 40mg because of worsening depression, suicidal ideation, NMS,
risk of QT interval prolongation, serotonin syndrome. Report: irregular heartbeat,
gradually reduce dose, monitor palpitations, altered mental status. Risk of bleeding
neurological changes, depression, with NSAIDs.
anxiety, suicidal ideation
Medication
, Generic: escitalopram Trade: lexapro
Classification: SSRI antidepressant Indications for use: depression
MOA: prevents serotonin reuptake by CNS neurons, making more serotonin available in brain
and thereby relieving depression
Dosage: 10-20mg Route: PO Frequency: daily
Side Effects: serotonin syndrome, Contraindications: MAOI use within 14 days and
drowsiness, headache, fatigue, concurrent use of pimozide
insomnia, sexual dysfunction, NMS,
worsening depression, suicidal
ideation
Nursing Considerations: monitor Patient Teaching: minimize GI upset by eating small,
mental status, mood changes, s/s frequent meals, and plenty of fluids. May take up tp
worsening depression or suicidal 4 weeks for effects of drug. Immediately discontinue
ideation, serotonin syndrome drug if s/s of NMS occur. recognize and report s/s of:
worsening depression, suicidal ideation, NMS,
serotonin syndrome.
Medication
Generic: fluoxetine Trade: Prozac
Antidepressants Drug Cards
Psychiatric & Mental Health Nu (Horry-Georgetown Technical College)
,HGTC Nursing Program
Drug Information Sheet
Medication
Generic: citalopram Trade: celexa
Classification: SSRI antidepressant Indications for use: depression
MOA: potentiates serotonin activity in the CNS by inhibiting neuronal uptake or serotonin.
Dosage: 10-40mg Route: PO Frequency: daily
Side Effects: confusion, insomnia, Contraindications: MAOI use within 14 days or
orthostatic hypotension, pimozide
hyponatremia,tachycardia, NMS,
serotonin syndrome, prolong QT
interval
Nursing Considerations: drug should Patient Teaching: recognize and report s/s of:
not be given above 40mg because of worsening depression, suicidal ideation, NMS,
risk of QT interval prolongation, serotonin syndrome. Report: irregular heartbeat,
gradually reduce dose, monitor palpitations, altered mental status. Risk of bleeding
neurological changes, depression, with NSAIDs.
anxiety, suicidal ideation
Medication
, Generic: escitalopram Trade: lexapro
Classification: SSRI antidepressant Indications for use: depression
MOA: prevents serotonin reuptake by CNS neurons, making more serotonin available in brain
and thereby relieving depression
Dosage: 10-20mg Route: PO Frequency: daily
Side Effects: serotonin syndrome, Contraindications: MAOI use within 14 days and
drowsiness, headache, fatigue, concurrent use of pimozide
insomnia, sexual dysfunction, NMS,
worsening depression, suicidal
ideation
Nursing Considerations: monitor Patient Teaching: minimize GI upset by eating small,
mental status, mood changes, s/s frequent meals, and plenty of fluids. May take up tp
worsening depression or suicidal 4 weeks for effects of drug. Immediately discontinue
ideation, serotonin syndrome drug if s/s of NMS occur. recognize and report s/s of:
worsening depression, suicidal ideation, NMS,
serotonin syndrome.
Medication
Generic: fluoxetine Trade: Prozac
