A patient who has taken paroxetine for several months says the medicine was stopped suddenly three days ago and now reports dizziness, nausea, and electric shock-like sensations. Which nursing action is most appropriate?
Correct answer: A. Notify the prescriber about possible discontinuation symptoms.
- A. Notify the prescriber about possible discontinuation symptoms.
- B. Tell the patient to double the next dose of paroxetine.
- C. Explain that these symptoms confirm a relapse of depression.
- D. Advise the patient to start another antidepressant without review.
Explanation
Abrupt withdrawal from paroxetine may cause dizziness, nausea, sensory disturbances, and irritability. The prescriber should decide whether a gradual taper or another treatment plan is needed; the patient should not double doses or self-start medication.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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