Information given to a depressed patient and family when the patient begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy should include the directive to:
a. avoid exposure to bright sunlight.
b. report increased suicidal thoughts.
c. restrict sodium intake to 1 gm daily.
d. maintain a tyramine-free diet.
B
Some evidence indicates that suicidal ideation may worsen at the beginning of SSRI antidepressant therapy, so close monitoring is necessary, and the patient and family should be directed to report immediately any intensification in suicidal ideation, intent, or plans. SSRI medications do not increase photosensitivity or require dietary tyramine or sodium restrictions.
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