The nurse is teaching a patient who will begin taking doxepin (Sinequan) to treat depression. Which statement by the patient indicates a need for further teaching?
a. "I should expect results within 2 to 4 weeks."
b. "I should increase fluids and fiber while taking this medication."
c. "I should take care when rising from a sitting to standing position."
d. "I will take the medication in the morning before breakfast."
ANS: D
Tricyclic antidepressants (TCAs) should begin to show effects within 1 to 4 weeks. Tricyclic antidepressants are known to cause orthostatic hypotension and constipation, so patients should be counseled on how to minimize these effects. TCAs should be taken at bedtime because of their tendency to cause drowsiness.
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