Antidepressants

Antidepressants ( 5 Questions)

A nurse is caring for a client who is taking venlafaxine (Effexor). Which of the following instructions should the nurse include in the teaching? Select all that apply.



Correct Answer: ["A","B","C","D"]

• Venlafaxine (Effexor) is a serotonin-norepinephrine reuptake inhibitor (SNRI) that can cause orthostatic hypotension, which is a drop in blood pressure when changing positions. Therefore, the client should change positions slowly to prevent dizziness or fainting.

• Venlafaxine (Effexor) can also increase the risk of bleeding when combined with alcohol or other drugs that affect blood clotting. Therefore, the client should avoid alcohol while taking this medication.

• Venlafaxine (Effexor) can cause nausea, especially when taken on an empty stomach. Therefore, the client should take it with food to reduce this adverse effect.

• Venlafaxine (Effexor) comes in both immediate-release and extended-release forms.

The extended-release tablets are designed to release the drug slowly over time and should not be altered. Therefore, the client should not crush or chew extended-release tablets as this can affect the drug’s absorption and effectiveness.

Choice E is wrong because taking venlafaxine (Effexor) at bedtime can cause insomnia due to its stimulating effects on the central nervous system. Therefore, the client should take it in the morning or early afternoon.




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