Bipolar disorder

Bipolar disorder ( 30 Questions)

A client with MDD is prescribed a TCA antidepressant. The nurse should teach the client to avoid which type of foods or beverages due to their potential interaction with TCAs?


Correct Answer: C

Choice A rationale:

Dairy products, in general, do not have a significant interaction with TCAs (Tricyclic Antidepressants). The concern with dairy products is usually related to their interaction with certain antibiotics. Therefore, avoiding dairy products is not necessary for someone taking TCAs.

Choice B rationale:

Fresh fruits do not have a notable interaction with TCAs. In fact, a diet rich in fresh fruits can be beneficial for overall health. There is no need to advise avoiding fresh fruits due to TCA use.

Choice C rationale:

(Correct Choice) Aged cheese should be avoided when taking TCAs. Aged cheeses, such as cheddar, blue cheese, and parmesan, contain tyramine, which can lead to a hypertensive crisis when consumed along with TCAs. This interaction is a result of the monoamine oxidase inhibitory effects of TCAs, which can lead to elevated levels of tyramine in the bloodstream.

Choice D rationale:

Leafy vegetables do not have a significant interaction with TCAs. Leafy vegetables are generally considered healthy and are not contraindicated when taking these medications. Therefore, there is no need for the client to avoid leafy vegetables due to TCA use.




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