Difficulty: Medium
Average Score: 93%
Simulated
A nurse is teaching a client who is to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct answer
C
Rationale
Soy protein is not known to interact adversely with fluoxetine. Echinacea is not known to interact adversely with fluoxetine. St. John's wort is known to interact adversely with fluoxetine by increasing serotonin levels, which can lead to serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as confusion, agitation, rapid heart rate, and high blood pressure. Ginkgo biloba is not known to interact adversely with fluoxetine.