Anti-depressant medication

SELECTION OF MEDICATIONS FOR MAINTENANCE ANTI DEPRESSANT TREATMENT... 

Methamphetamine also changes the level of some commonly used legal medications. With the high levels of HIV and AIDS that are seen in intravenous drug users, many will be on anti-HIV medication. Methamphetamine increases the blood level of some anti-HIV medications, which could cause serious side effects. Also, many users of methamphetamine suffer from psychiatric problems, including depression. Methamphetamine increases the blood levels of a class of commonly used antidepressants known as tricyclic antidepressants, which, when taken at high levels, can cause respiratory depression and even death. 

Nonsteroidal anti-inflammatory medications (NSAIDs) are used for many aches and pains and are available over the counter in such forms as ibuprofen (brand names Motrin and Advil, as well as a generic form), naproxen (brand name Aleve and a generic form), and others. There have been reports of depression, anxiety, paranoia, psychosis, and confusion with these medications. Sildenafil (brand name Viagra), used for male sexual dysfunction, has been reported to cause aggression, delusions, hallucinations, mania, paranoia, and confusion in rare cases. Therapists will treat patients who are taking steroids, over-the-counter NSAIDs, and Viagra. When these patients have mental health symptoms, they need to be evaluated by their physician to see if the medication is contributing to the psychiatric symptoms. 

Certain t) es of foods can adversely effect the dmg s therapeutic effect by increasing absorption, delaying absorption, and even preventing absorption of the medication. Furthermore, food may cause the patient to experience an adverse reaction as in the case with phenelzine sulfate (Nardil), which is an MAO monoamineoxidase inhibitor anti-depressant. Nardil caimot be given with foods that use bacteria or molds in their preparation or for preservation of those that contain tyramine, such as cheese, sour cream, beer, wine, figs, raisins, bananas, avocados, etc. The nurse must assess if the dmg has a contraindication with food and educate the patient about this food-dmg interaction. 

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