SSRI early counselling — GPhC CRA MCQ
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Correct answer: B — Continue treatment and arrange review if symptoms worsen or persist
SSRIs commonly take several weeks to show a meaningful antidepressant effect. Mild nausea early in treatment can occur and often improves, but the patient should be advised to seek review if symptoms worsen, suicidal thoughts occur, or adverse effects become troublesome. St John's wort is inappropriate because of interaction risks.
Reference: BNF; NICE CKS