The chosen classification of medications, from the classification category, for your chosen vulnerable patient.
choose a vulnerable patient and develop a 2- to 3-page Medication Guide for them and their family. In your guide, you will consider their ages, birth-assigned sex, FDA approvals, and considerations for increased or decreased risk for side effects. You will choose the most appropriate medication for each of these individuals. Support your answers with evidence-based, peer-reviewed scholarly literature. APA style format title page, citations and references will apply.
Note: You will not set up this Medication Guide as a paragraph-formatted paper but, instead, as a creative, visually appealing guide.
Step 1: Choose one of the following vulnerable patients to create a Medication Guide for the patient (pick whichever scenario is of most interest to you!):
• Patient 2:16-year-old male with a diagnosis of major depressive disorder, severe. He has seen a therapist weekly for the past 6 months and has had minimal change in symptoms. He has expressed thoughts of wanting to die.
Step 2: Create a Medication Guide for a patient. Please note, this should not be written in your classic “term paper” format. In your guide, you should provide the following specific instructions for the patient:
• Describe the chosen classification of medications, from the classification category, for your chosen vulnerable patient. Explain your rationale for your choice.
• Explain what dose you would start the chosen medication with and the frequency.
• Discuss how the medication works to treat their symptoms.
• Explain how long they should take the medication.
• Discuss the typical or common side effects of the medication.
• Explain the urgent or emergent considerations for the patient taking the medication.
The Medication Guide should also include:
• Directions you would provide the patient on how to take the prescribed medication
• Instructions on what the patient should do if a medication dose is missed
• List of any other medications, over-the-counter medications, and/or supplements/herbals the patient should avoid while taking the prescribed medication
• List of foods the patient should avoid when taking this medication
• Date when the patient should return for follow-up visit with you
• Discussion about the legal and ethical considerations for the medication being prescribed
Understanding Fluoxetine
Classification: Selective serotonin reuptake inhibitor (SSRI)
Rationale: SSRIs are often the first-line treatment for major depressive disorder due to their generally favorable side effect profile and effectiveness. Fluoxetine is particularly well-studied and has FDA approval for use in adolescents.
Dosage and Administration
Starting Dose: Typically, the starting dose for adolescents is 20 mg daily, taken in the morning.
Frequency: Fluoxetine is usually taken once a day.
Mechanism of Action
Fluoxetine works by increasing the levels of serotonin, a neurotransmitter that plays a crucial role in mood regulation. By enhancing serotonin levels, fluoxetine helps to improve mood and reduce depressive symptoms.
Duration of Treatment
The duration of treatment with fluoxetine can vary depending on the severity of the depression and the patient's response to the medication. It is generally recommended to continue treatment for at least six months after symptoms improve to reduce the risk of relapse.
Common Side Effects
- Gastrointestinal: Nausea, diarrhea, constipation, or loss of appetite
- Neurological: Headache, dizziness, drowsiness, or insomnia
- Sexual Dysfunction: Reduced libido, difficulty achieving orgasm, or erectile dysfunction
- Other: Sweating, tremors, or weight gain
Urgent Considerations
- Suicidal Thoughts: Monitor for any worsening of depression or suicidal thoughts, especially during the initial weeks of treatment. If you notice any concerning changes, contact your healthcare provider immediately.
- Serotonin Syndrome: While rare, serotonin syndrome can occur if fluoxetine is combined with other medications that increase serotonin levels. Symptoms include agitation, confusion, fever, sweating, and muscle rigidity.
Patient Instructions
- Take as Prescribed: Take fluoxetine exactly as prescribed by your doctor. Do not stop taking it abruptly without consulting your healthcare provider.
- Missed Dose: If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue your regular schedule.
- Avoid Alcohol and Other Medications: Avoid excessive alcohol consumption while taking fluoxetine, as it can increase the risk of side effects. Inform your doctor about any other medications, over-the-counter drugs, or supplements you are taking.
- Avoid St. John's Wort: St. John's wort can interact with fluoxetine and increase the risk of side effects.
- Monitor for Interactions: Be aware of potential interactions between fluoxetine and certain foods or beverages. Consult your healthcare provider for specific recommendations.
- Follow-Up: Schedule regular follow-up appointments with your doctor to monitor your progress and adjust your medication as needed.
Legal and Ethical Considerations
- Informed Consent: Ensure that the patient and their family fully understand the risks and benefits of fluoxetine treatment.
- Confidentiality: Maintain patient confidentiality in accordance with HIPAA regulations.
- Monitoring and Evaluation: Regularly assess the patient's response to treatment and adjust the medication as needed.
Remember to consult with a qualified healthcare professional for personalized guidance and advice.