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Prescribed Medication: Information Leaflet Prior

This document provides information about the antipsychotic medication Fluanxol Depot, including its prescribed dosage of 20 mg/ml per solution. It lists the drug's classification, purpose for taking it to alter dopamine levels in the central nervous system, and potential therapeutic effects and side effects to monitor for like changes in liver enzymes, blood glucose, serum prolactin, and extrapyramidal symptoms. The nursing responsibilities are outlined such as assessing mental status, vital signs, weight, and bowel function and monitoring for side effects during the medication regimen.

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Havier Esparaguera
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570 views4 pages

Prescribed Medication: Information Leaflet Prior

This document provides information about the antipsychotic medication Fluanxol Depot, including its prescribed dosage of 20 mg/ml per solution. It lists the drug's classification, purpose for taking it to alter dopamine levels in the central nervous system, and potential therapeutic effects and side effects to monitor for like changes in liver enzymes, blood glucose, serum prolactin, and extrapyramidal symptoms. The nursing responsibilities are outlined such as assessing mental status, vital signs, weight, and bowel function and monitoring for side effects during the medication regimen.

Uploaded by

Havier Esparaguera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Prescribed Medication Prescribed dosage, Frequency and Route of Administration:

Brand Name: Fluanxol Depot


Therapeutic Dosage: 20 mg/ml per solution
Generic Name: Flupentixol decanoate
Drug Classification Purpose/ Reasons for taking Patient Teaching Nursing Responsibilities
(General Action) the Medication
Therapeutic class:  Instruct patient to  Assess mental status
Antipsychotic Alters the effects of take as directed. If a dose (orientation, mood,
Pharmacologic Class: dopamine in the CNS. Has is missed, omit and take behavior) before and
thioxanthenes some anticholinergic and next dose as scheduled. periodically during
Laboratory Tests/Results alpha-adrenergic blocking Discontinuation should be therapy.
activity.
Relevant to the Medication gradual; abrupt  Monitor BP (sitting,
 Monitor CBC and liver Therapeutic Effect(s): discontinuation may standing, lying), ECG,
function tests periodically Diminished signs and cause withdrawal pulse, and respiratory rate
during treatment. May cause symptoms of schizophrenia. symptoms (nausea, before and frequently
↑ AST, ALT, and alkaline vomiting, anorexia, during the period of dose
phosphatase. diarrhoea, rhinorrhoea, adjustment. May cause Q-
 Monitor blood sweating, myalgias, T prolongation.
glucose prior to and paraesthesias, insomnia,  Observe carefully
periodically during restlessness, anxiety, when administering oral
therapy. May cause agitation, vertigo, feelings medication to ensure that
hyperglycemia. of warmth and coldness, medication is actually
 Monitor serum tremor). Symptoms begin taken and not hoarded.
prolactin prior to and within 1 to 4 days of  Assess weight and
periodically during withdrawal and abate BMI initially and
therapy. May cause ↑ within 7 to 14 days. throughout therapy.
serum prolactin levels. Advise patient to  Assess fluid intake
 May cause false- read Patient and bowel function.
positive pregnancy tests. Information leaflet prior Increased bulk and fluids
to starting therapy and in the diet help minimize
with each Rx refill in case constipation.
of changes.  Monitor for onset of
 Inform patient of akathisia (restlessness or
possibility of desire to keep moving)
extrapyramidal symptoms and extrapyramidal side
and tardive dyskinesia. effects
Caution patient to report (parkinsonian– difficulty
these symptoms speaking or swallowing,
immediately to health loss of balance control,
care professional. pill rolling, mask-like
 Advise patient to face, shuffling gait,
change positions slowly rigidity,
to minimize orthostatic tremorsdystonic– muscle
hypotension. spasms, twisting motions,
 Medication may twitching, inability to
cause drowsiness. Caution move eyes, weakness of
patient to avoid driving or arms or legs) every 2 mo
other activities requiring during therapy and 8–12
alertness until response to wk after therapy has been
medication is known. discontinued. Reduction
 Advise patient to in dose or discontinuation
notify health care of medication may be
professional of all Rx or necessary. Benztropine or
OTC medications, diphenhydramine may be
vitamins, or herbal used to control these
products being taken and symptoms.
to consult with health care  Monitor for tardive
professional before taking dyskinesia (uncontrolled
other medications. rhythmic movement of
 Caution patient to mouth, face, and
avoid concurrent use of extremities; lip smacking
alcohol and other CNS or puckering; puffing of
depressants. cheeks; uncontrolled
 Instruct patient to chewing; rapid or worm-
notify health care like movements of
professional promptly if tongue). Report
sore throat, fever, unusual immediately; may be
bleeding or bruising, rash, irreversible.
weakness, tremors, visual  Monitor for
disturbances, dark- development of
colored urine, or clay- neuroleptic malignant
colored stools occur. syndrome (fever,
 Instruct patient to respiratory distress,
avoid sun exposure and to tachycardia, seizures,
wear protective clothing diaphoresis, arrhythmias,
and sunscreen when hypertension or
outdoors. hypotension, pallor,
 Advise patient to tiredness, severe muscle
notify health care stiffness, loss of bladder
professional of control). Report
medication regimen immediately.
before treatment or  Monitor for
surgery. symptoms related to
 Advise female hyperprolactinemia
patients to notify health (menstrual abnormalities,
care professional if galactorrhea, and sexual
pregnancy is planned or dysfunction).
suspected or if breast
feeding or planning to
breast feed.

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