Contraindications to prescribing Lexapro

by | Jul 14, 2023 | medicine

 

1. Are there any contraindications to prescribing Lexapro for this patient?
2. What is another FDA-approved medication for adolescents in treating anxiety and depression?
3. What other medications besides Vistaril could the patient have been prescribed to help with anxiety short term?
Required Reading
• Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.
o Chapters 31, “Assessing Personality Disorders”
o Chapter 32, “How to Educate Your Patient”
• MeditrekLinks to an external site. https://edu.meditrek.com/Default.html
•
o Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
• Document: Focused SOAP Note Template (Word document)Download Focused SOAP Note Template (Word document)
• Document: Focused SOAP Note Exemplar (Word document)Download Focused SOAP Note Exemplar (Word document)
• Office of Disease Prevention and Health Promotion. (n.d.). Social Determinates of Health.Links to an external site. Healthy People 2030. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/social-determinants-health
Recommended Readings
• American Psychiatric Association. (2010). Practice guideline for the treatment of patients with borderline personality disorderLinks to an external site.. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd.pdf
• Oldham, J. M. (2005). Guideline watch: Practice guideline for the treatment of patients with borderline personality disorderLinks to an external site.. American Psychiatric Association. https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bpd-watch.pdfLinks to an external site.
• Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
Recommened Media
• Grande, T. (2018, Nov. 30). What are paraphilic disorders?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=YOV61lKxqxY
• Taylor Study Method. (2014, Aug. 18) Paraphilic disordersLinks to an external site.. [Video]. YouTube. https://www.youtube.com/watch?v=0TtryBLokZc

 

 

 

Sample Solution 

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents

Sample Solution 

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents

Contraindications to prescribing Lexapro

Fluoxetine is an antidepressant that is approved by the U.S. Food and Drug Administration for the treatment of depression in children and adolescents. It is also approved for use in pediatric patients with obsessive-compulsive disorder (OCD) and bulimia nervosa. Fluoxetine may be used in patients older than eight years.

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that works by increasing the amount of serotonin in the brain. Serotonin is a neurotransmitter that helps regulate mood, appetite, and sleep.

Fluoxetine can cause side effects such as nausea, diarrhea, headache, insomnia, and dry mouth. It can also cause sexual dysfunction and weight gain.

It is important to note that antidepressants can increase the risk of suicidal thinking and behavior in children, adolescents, and young adults with major depressive disorder1.

 

  1. Are there any contraindications to prescribing Lexapro for this patient?

Fluoxetine (Prozac) and escitalopram (Lexapro) are the only two medications approved by the U.S. Food and Drug Administration to treat major depressive disorder in children and adolescents. Fluoxetine is approved for patients eight years and older, and escitalopram is approved for patients 12 years and older.

  1. What is another FDA-approved medication for adolescents in treating anxiety and depression?

Duloxetine (Cymbalta), which is an SNRI, has FDA approval for anxiety in children and adolescents.

  1. What other medications besides Vistaril could the patient have been prescribed to help with anxiety short term?

Other medications besides Vistaril that could be prescribed to help with anxiety short term include benzodiazepines such as alprazolam (Xanax), clonazepam (Klonopin), diazepam (Valium), and lorazepam (Ativan)

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