Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

● ESCITALOPRAMElderlyDepression:CITALOPRAMRoute and Dosage● ● ● Depression and GAD:OCD:use of SSRIs.ins, tricyclic antidepressants, cyclosporine, benzodiaze-Concomitant use of SSRIs may increase effects of Concomitant use of SSRIs may decrease effects of that increases levels of serotonin.5-HTSt. John’s wort, sumatriptan, sympathomimetics, tacrine, Lithiumpines, beta blockers, methadone, carbamazepine, clozap-theophylline, ine, olanzapine, pimozide, haloperidol, phenothiazines, Decreased effects of SSRIs with concomitant use of azepine and40 mg/day. of 40 to 60 mg/day. Maximum dosage: 80 mg. daily dose. May increase in increments of 20 mg at intervals of no less than 1 week. Recommended maximum dose: digoxin. PO: clients^1 receptor agonists levels may be increased or decreased by concomitant or Initial dosage: 20 mg/day. Titrate to a target dosage (^) : 20 mg/day. (Celexa) cyproheptadine PO(Lexapro) and : Initial dosage: 20 mg/day as a single warfarin. PO(agents for migraine), or any drug : Initial dosage: 10 mg/day as a Antidepressants buspirone hydanto-carbam-●^425

2 2506_Ch26_417-446.indd 1425 506 Ch 26 417 - 446 .indd Depression and OCD:FLUOXETINEPanic Disorder:PMDD (Sarafem):Elderly clients:PTSD:Bulimia Nervosa: 142 May need to titrate up to this target dose in some clients. single daily dose. May increase to 20 mg/day after 1 week. in the morning. May increase dosage after several weeks if 80 mg/day. May be given continuously throughout the cycle or intermittently (only during the 14 days prior to anticipated onset of menses). clinical improvement is not observed. Maximum dose: 80 mg/day. increase dose to 20 mg/day. If no improvement is seen after several weeks, may consider dose increases up to 60 mg/day. 4 weeks. 5 Children and adolescents:^ PO:^ (Prozac; Sarafem) Initial dose: 10 mg/day. Increase to 20 mg/day after PO: 10 mg/day.^ PO:^ PO^ PO: 6 0 m g /d a y ad m i n i s t e r e d i n t he mor n i n g. Initial dose: 10 mg/day. After 1 week,^ : Initial dose: 20 mg/day. Maximum: PO: Adults: 10 to 20 mg/day. Initial dosage: 20 mg/day 1 10/1/10 9:39:20 AM 0 / 1 / 10 9 : 39 : 20 AM