A client with a diagnosis of depression has been taking citalopram (Celexa) for several weeks but is frustrated by the persistence of his depression
The client has told the nurse that he has just begun supplementing his antidepressant with St. John's wort. How should the nurse respond?
A) "It's best that you stop taking the St. John's wort until you talk to you doctor."
B) "Make sure that you don't take your St. John's wort and your Celexa at the same time of the day."
C) "You'll probably find that you'll experience an improvement in your mood within a few days."
D) "While you're taking the two medications, make sure that you're careful to avoid injury because there's a small risk of bleeding."
Ans: A
St. John's wort is contraindicated with concurrent antidepressant use.
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