A patient taking fluoxetine (Prozac) complains of insomnia. The nurse reports the patient's complaint to the prescriber and should anticipate that which of the following medications would be ordered?
a. Trazodone (Desyrel)
b. Ramelteon (Rozerem)
c. Diphenhydramine (Nytol)
d. Zolpidem (Ambien)
ANS: A
Trazodone is especially useful for treating insomnia resulting from the use of antidepressants that cause significant central nervous system stimulation.
Ramelteon is indicated for long-term therapy of insomnia.
Diphenhydramine and zolpidem are not indicated for antidepressant insomnia.
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