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Author Question: A male patient has been taking venlafaxine (Effexor) 37.5 mg daily for 2 weeks and reports ... (Read 174 times)

Medesa

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on: Jul 23, 2018
A male patient has been taking venlafaxine (Effexor) 37.5 mg daily for 2 weeks and reports ejaculation dysfunction and urinary retention. What action will the nurse take?
 
  a. Contact the provider to discuss decreasing the dose.
  b. Reassure the patient that these are common side effects.
  c. Report potential serious adverse effects to the provider.
  d. Withhold the dose until the provider is notified.

Question 2

A patient who has been taking a monoamine oxidase (MAO) inhibitor for several months will begin taking amoxapine (Asendin) instead of the MAO inhibitor. The nurse will counsel the patient to begin taking the amoxapine
 
  a. along with the MAO inhibitor for several months.
  b. at least 14 days after discontinuing the MAO inhibitor.
  c. the day after the last dose of the MAO inhibitor.
  d. while withdrawing the MAO inhibitor over several weeks.


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Anonymous

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Venlafaxine can cause ejaculation dysfunction and urinary retention, and these side effects tend to be transient and treatable. Decreasing the dose is not indicated, and these are not serious adverse effects. Withholding the dose is not indicated.

Answer to Question 2

ANS: B
Amoxapine is an atypical antidepressant that should not be taken with MAO inhibitors and should not be used within 14 days of taking an MAO inhibitor.


Medesa

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

pratush dev

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Reply 3 on: Yesterday
Gracias!

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