A TCA is prescribed for a patient newly diagnosed with depression. What information should be included in patient teaching?
a. "Take this medication on an empty stomach."
b. "Do not eat aged cheese while using this medication."
c. "You might experience sweating, tremors, and excessive urination."
d. "It might be 2 weeks or more before you notice the effects of this medicine."
D
Antidepressant effects might take several weeks to be noticeable. Avoidance of tyramine (as is present in aged cheeses) is necessary for MAOI therapy but not for TCAs. It is not necessary to take TCAs on an empty stomach. Sweating, tremors, and urination problems are not commonly experienced with TCA therapy.
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