— 心理社會完整性 · MEDIUM · MCQ —
一位重度憂鬱症個案剛開始服用 Fluoxetine。哪句話顯示其理解用藥安全注意事項？
A client with major depressive disorder is newly prescribed fluoxetine. Which statement indicates the client understands the safety precautions?
- AI can take this with St. John’s wort for better effect我可以與聖約翰草一起服用以獲得更好的效果
- BI need to be aware of mood changes and suicidal thoughts✓ 正解我需要留意情緒變化及自殺念頭
- CI will stop drinking coffee while on this medication服用此藥物期間我不會喝咖啡
- DI should stop taking the drug if I feel better in a week如果我在一週後感覺好轉，我應該停止服藥
— Explanation · 中文詳解 —
SSRI 類抗憂鬱藥物在服用初期（前 2-4 週）可能會因為能量回升但情緒改善尚未顯著，導致自殺風險反而增加。個案若能主動察覺並警惕情緒波動與自殺念頭，顯示具備良好的用藥安全性認識。不可併用聖約翰草，且需規律服藥，不應因症狀改善自行停藥。
SSRIs may initially increase energy levels before improving mood, which can elevate suicide risk during the first few weeks of treatment. Recognizing the need to monitor for mood changes and suicidal thoughts demonstrates an understanding of these early safety precautions.
✦ 台美臨床差異
台美對 SSRI 的衛教重點一致，但在美國會更強調透過 Telehealth 進行密切的自殺風險追蹤。