Patient/Family Teaching

• Instruct patient to take medication exactly as directed. If a dose is missed, take if remembered within 1 hr; if remembered later, do not take. Do not double doses. Abrupt discontinuation may precipitate pre-existing symptoms or withdrawal reactions within 12–48 hr (vomiting, ataxia, muscle twitching, confusion, hallucinations, convulsions). Symptoms usually subside within 12–48 hr

• May cause drowsiness and blurred vision. Caution patient to avoid driving and other activities requiring alertness until effects of drug are known

• Caution patient to change positions slowly to minimize orthostatic hypotension

• Geri: Caution patient to reduce fall risk in the home.

• Advise patient to avoid concurrent use of alcohol or other CNS depressants

• Instruct patient to notify health care professional if pregnancy is planned or suspected

• Advise patient to notify health care professional if skin rash, sore throat, or fever occurs

• Emphasize the importance of participation in psychotherapy if recommended by health care professional and follow-up exams to evaluate progress

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