A patient reports having occasional periods of tremors, palpitations, nausea, and a sense of fear, which usually dissipate within 30 minutes. To treat this condition, the nurse anticipates the pro-vider will prescribe a drug in which drug class?

a. Benzodiazepines
b. Monoamine oxidase inhibitors
c. Selective serotonin reuptake inhibitors
d. Tricyclic antidepressants


C
This patient is showing characteristics of panic disorder. All three major classes of antidepres-sants are effective, but selective serotonin reuptake inhibitors are first-line drugs. Benzodiaze-pines are second-line drugs and are rarely used because of their abuse potential. MAOIs are ef-fective but are difficult to use because of side effects and drug and food interactions. Tricyclic antidepressants are second-line drugs, and their use is recommended only after a trial of at least one SSRI has failed.

Nursing

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