B’s medications, according to Uphold and Graham (2013), the first line agent that should be considered when prescribing for Ms. B would be selective serotonin reuptake inhibitors (SSRIs). Levothyroxine can interact with some SSRI’s. Sertraline (Zoloft) has a low potential for interactions (Uphold & Graham, 2013). There are no major drug interaction with Ms. B’s medications and sertraline (Drugs, 2015). A prescription of “Zoloft 25mg by mouth once a day” would be prescribed (Chisholm-Burns et al., 2013, p. 986). Ms. B would be instructed to not take St. John’s Wort due to the potential of causing serotonin syndrome (Drugs, 2015). Ms. B and her family should be educated on the seriousness of serotonin syndrome. Serotonin syndrome symptoms can be a change in mental status, hallucination, seizure, changes in blood pressure or heart rate, fever, tremor, blurred vision, hyperreflexia, and other autonomic changes (Uphold & Graham, 2013). Ms. B should be counseled to bring all medication, herbal supplements, and vitamins to all appointments to check for
B’s medications, according to Uphold and Graham (2013), the first line agent that should be considered when prescribing for Ms. B would be selective serotonin reuptake inhibitors (SSRIs). Levothyroxine can interact with some SSRI’s. Sertraline (Zoloft) has a low potential for interactions (Uphold & Graham, 2013). There are no major drug interaction with Ms. B’s medications and sertraline (Drugs, 2015). A prescription of “Zoloft 25mg by mouth once a day” would be prescribed (Chisholm-Burns et al., 2013, p. 986). Ms. B would be instructed to not take St. John’s Wort due to the potential of causing serotonin syndrome (Drugs, 2015). Ms. B and her family should be educated on the seriousness of serotonin syndrome. Serotonin syndrome symptoms can be a change in mental status, hallucination, seizure, changes in blood pressure or heart rate, fever, tremor, blurred vision, hyperreflexia, and other autonomic changes (Uphold & Graham, 2013). Ms. B should be counseled to bring all medication, herbal supplements, and vitamins to all appointments to check for