An adolescent child with panic disorder is taking paroxetine (Paxil),a selective serotonin reuptake inhibitor (SSRI)
The child tells the nurse she often takes diet pills because she is trying to lose weight. The nurse should advise the child to
1. continue with the paroxetine (Paxil) and the diet pills.
2. stop both the paroxetine (Paxil) andthe diet pills.
3. discontinue use of the diet pills whiletaking the paroxetine (Paxil).
4. discuss use of the diet pills with apharmacist.
Answer:3
Rationale:Serotonin syndrome,the serious and life-threatening side effect of SSRIs,can develop when the drug is taken with diet pills,St.-John's-wort,other antidepressants,alcohol,or LSD.In this case the diet pills should be discontinued in order to avoid serotonin syndrome. The Paxil should not be discontinued,and waiting to discuss the use of diet pills with a pharmacist would not be an appropriate option.
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