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% Document Info
\author{adrianao}
\pdfinfo{
  /Title (selective-serotonin-reuptake-inhibitors-ssri.pdf)
  /Creator (Cheatography)
  /Author (adrianao)
  /Subject (Selective Serotonin Reuptake Inhibitors (SSRI) Cheat Sheet)
}

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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Selective Serotonin Reuptake Inhibitors (SSRI) Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{adrianao} via \textcolor{DarkBackground}{\uline{cheatography.com/168237/cs/35183/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}adrianao \\
  \uline{cheatography.com/adrianao} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 3rd November, 2022.\\
   Updated 3rd November, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Medications}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Paroxetine} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Sertraline} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Citalopram} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Escitaloptam} \tn 
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% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Fluixetine} \tn 
% Row Count 5 (+ 1)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{Fluvoxamine} \tn 
% Row Count 6 (+ 1)
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Purpose}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{SSRIs selectively block reuptake of the monoamine neurotransmitter serotonin in the synaptic space, thereby intensifying the effects of serotonin. Considered the first line treatment for depression.} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Paroxetine selectively inhibits serotonin reuptake, allowing more serotonin to stay at the junction of the neurons} \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{It doesn't block the reuptake of dopamine or norepinephrine.} \tn 
% Row Count 9 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{The medication has a long effective half-life. A time frame of up to 4 weeks is necessary to produce therapeutic medication levels.} \tn 
% Row Count 12 (+ 3)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Therapeutic Uses}}  \tn
% Row 0
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\seqsplit{Paroxetine} & Generalized anxiety disorder (GAD). Panic disorder: decreasing both the frequency and intensity of panic attacks and also prevent anticipatory anxiety about attacks. Obsessive Compulsive Disorder (OCD): reduces manifestations by increasing serotonin. Social Anxiety disorder. Trauma and stressor related disorders. Dissociative disorders. Depressive disorders. Adjustment disorders. \tn 
% Row Count 13 (+ 13)
% Row 1
\SetRowColor{white}
\seqsplit{Sertraline} & Indicated for panic disorder, OCD, anxiety disorder, and PTSD. \tn 
% Row Count 16 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Escitalopram} & Indicated for GAD and OCD \tn 
% Row Count 18 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{Fluvoxamine} & Used for OCD and social anxiety disorder. \tn 
% Row Count 20 (+ 2)
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications}}  \tn
% Row 0
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Early Adverse Effects & Client Education \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
First few days/weeks: Nausea, diaphoresis, tremors, fatigue, drowsiness & Report adverse effects to the provider, Take medication as prescribed. These effects should soon subside \tn 
% Row Count 8 (+ 6)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Later Adverse Effects} \tn 
% Row Count 9 (+ 1)
% Row 3
\SetRowColor{white}
After 5 to 6 weeks of therapy. Insomnia, headache, and sexual dysfunction (impotence, delayed, or absent orgasm, delayed or absent ejaculation, decreased sexual interest) & Report problems with sexual function (managed with dose reduction, medication holiday, changing medication) \tn 
% Row Count 18 (+ 9)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Weight Changes} \tn 
% Row Count 19 (+ 1)
% Row 5
\SetRowColor{white}
Occurrence of weight loss early in therapy that can be followed by weight gain with long term treatment & Monitor client's weight. Follow a well balanced diet and exercise regularly. \tn 
% Row Count 25 (+ 6)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{GI Bleeding} \tn 
% Row Count 26 (+ 1)
% Row 7
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Use caution in clients who have a history of GI bleed or ulcers and in cleitns taking other medications that affect blood coagulation & Report indications of bleeding (dark stool, coffee-ground emesis) \tn 
% Row Count 33 (+ 7)
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\vfill
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications (cont)}}  \tn
% Row 8
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\mymulticolumn{2}{x{5.377cm}}{Hyponatremia} \tn 
% Row Count 1 (+ 1)
% Row 9
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More likely in older adult clients taking diuretics & Obtain baseline blood sodium levels, monitor levels periodically throughout treatment \tn 
% Row Count 6 (+ 5)
% Row 10
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\mymulticolumn{2}{x{5.377cm}}{Serotonin Syndrome} \tn 
% Row Count 7 (+ 1)
% Row 11
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Agitation, confusion, disorientation, difficulty concentrating, anxiety, hallucinations, Myoclonus (spastic, jerky muscle contractions), hyperreflexia, incoordination, tremors, fever, diaphoresis, hostility, delirium, seizures, tachycardia, labile blood pressure, nausea, vomiting, diarrhea, abdominal pain, coma leading to apnea, and death in severe cases. & Serotonin syndrome usually begins true to 72 hours after initiation of treatment. This resolves when the medication is discontinued. Watch for and advise clients to withhold the medication and report any of these manifestations, which could indicate a little problem. \tn 
% Row Count 25 (+ 18)
% Row 12
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\mymulticolumn{2}{x{5.377cm}}{Bruxism} \tn 
% Row Count 26 (+ 1)
% Row 13
\SetRowColor{white}
Grinding and clenching of teeth usually during sleep & Report to the provider, who may switch the client to another class of medication. Treat with low dose Buspirone. Use mouth guard during sleep \tn 
% Row Count 34 (+ 8)
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications (cont)}}  \tn
% Row 14
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\mymulticolumn{2}{x{5.377cm}}{Withdrawal Syndrome} \tn 
% Row Count 1 (+ 1)
% Row 15
\SetRowColor{white}
Nausea, sensory disturbances, anxiety, tremors, malaise, unease & Minimized by tapering dose slowly. Do not discontinue use of abruptly but slowly taper medication before stopping especially with long-term use. \tn 
% Row Count 9 (+ 8)
% Row 16
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\mymulticolumn{2}{x{5.377cm}}{Postural Hypotension} \tn 
% Row Count 10 (+ 1)
% Row 17
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when your blood pressure drops when you go from lying down to sitting up, or from sitting to standing & Monitor for hypotension and advise client to change positions slowly \tn 
% Row Count 16 (+ 6)
% Row 18
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Suicidal Ideations & Monitor and report manifestations of depression and thoughts of suicide \tn 
% Row Count 20 (+ 4)
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Contraindications/ Precautions}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Paroxetine is a pregnancy risk category D medication.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Paroxetine Tina is contraindicated in clients taking MAOIs or a TCA.} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Clients taking paroxetine and should avoid alcohol.} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Use Paroxetine cautiously in clients who have liver and renal dysfunction, seizure disorders, or a history of GI bleeding.} \tn 
% Row Count 9 (+ 3)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Interactions}}  \tn
% Row 0
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Use of St. Johns worts, MAOI antidepressants, or TCA's can cause serotonin syndrome & Educate the client about this combination. Avoid concurrent use \tn 
% Row Count 5 (+ 5)
% Row 1
\SetRowColor{white}
Antiplatelet medications and anticoagulations can increase risk for bleeding & Monitor for bleeding. Avoid concurrent use. \tn 
% Row Count 9 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Nursing Administration}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Administer with food} \tn 
% Row Count 1 (+ 1)
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\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Client Education}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{It can take up to 4 weeks to achieve therapeutic effects.} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Taking the medication at the same time daily promotes therapeutic levels.} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Taking the medication in the morning can prevent sleep disturbances.} \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}