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SSRI counselling — GPhC CRA MCQ

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EasyCNS TherapeuticsSSRI counsellingGPhC CRA

A 22-year-old student collects sertraline 50mg daily for newly diagnosed depression. He asks when he should expect benefit and whether he can stop it if nausea occurs. He has no suicidal thoughts today and has a follow-up appointment booked. What would you advise the patient?

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Correct answer: Ebenefit may take a few weeks and troublesome adverse effects should be discussed before stopping

SSRIs often take several weeks to produce meaningful antidepressant benefit. Early adverse effects such as nausea may improve, but the patient should seek advice rather than stopping abruptly. St John's wort can interact with serotonergic medicines and should not be recommended. The medicine is intended for regular dosing rather than symptom-triggered use.

Reference: BNF; NICE CKS: Depression