After taking an antidepressant for about a week, a patient reports constipation and blurred vision, with no improvement in mood. The psychiatric-mental health nurse informs the patient:

Question

Question

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AIIMS NORCET 7 Prelims Memory Based Paper 2024

"It takes approximately 3 to 4 weeks for depression medications to take effect, and side effects usually diminish over time."
"Stop the medication immediately and contact your primary care physician."
"You should contact your doctor. The doctor may need to change your medication."
"You should schedule an appointment with your ophthalmologist."

Answer 1

Correct Answer: "It takes approximately 3 to 4 weeks for depression medications to take effect, and side effects usually diminish over time."

Rationale:

Antidepressants often take time to start showing their therapeutic effects. Typically, it can take about 3 to 4 weeks for patients to notice a significant improvement in their mood.
The initial side effects of antidepressants, such as constipation and blurred vision, are common and usually diminish as the body adjusts to the medication over time.
It is important for patients to be informed about this time frame to set realistic expectations and to encourage adherence to the medication regimen.

Explanation of Other Options:

"Stop the medication immediately and contact your primary care physician."

Rationale: Abruptly stopping an antidepressant can lead to withdrawal symptoms and may worsen the patient's condition. It is generally recommended to consult with a healthcare provider before making any changes to the medication regimen.

"You should contact your doctor. The doctor may need to change your medication."

Rationale: While it is important to communicate side effects to the doctor, suggesting a medication change after only a week is premature. Many side effects diminish over time, and the full therapeutic effect of the medication has not yet been reached.

"You should schedule an appointment with your ophthalmologist."

Rationale: Blurred vision is a common side effect of many antidepressants and usually resolves on its own. An ophthalmologist's intervention is not typically necessary unless the symptom persists or worsens significantly.

Conclusion:

Understanding the time frame for antidepressant efficacy and the potential for side effects to diminish over time helps patients maintain adherence to their treatment plan. It is important to communicate openly with healthcare providers about any concerns, but also to have patience with the process.