FEEDBACK

Valerian and escitalopram

Exercise details
Username:
132300

Name:
EMAD MOHAMMAD BASHAR MUSTAFA MUSTAFA

Unit:
Pharmacy Practice Training Summer2022 JUST Year: 2021

Tutorial:
Nutrition, vitamins, and herbal supplements

Exercise:
Valerian and escitalopram

Date completed:
08/24/2022 12:56:14
 Summary & Outcome

Hello, I would like you to give me valerian to relax me and

make me sleep well.

Summary: Tannetje van Roon presented with the above query

Your customer had these insomnia

symptoms:

Outcome feedback: Well done, you have correctly decided NOT to recommend
treatment for this patient.
Note from your tutor: JB appears to be suffering from insomnia due to
depression and anxiety related to financial stress, she
is also consuming a large amount of caffeine, which is
likely to be contributing to her inability to fall asleep.
Ms JB should reduce the amount of coffee and any
other sources of caffeine she might be drinking
throughout the day. She should be having no more than
4 cups of coffee a day and her last coffee should be no
later than 6 hours before she intended to go to bed. If
she is going to reduce caffeine intake she needs to do it
gradually to avoid any issues such as rebound
headaches.
selective serotonin reuptake inhibitors (SSRIs) such as
escitalopram can take from 1 to 2 weeks for maximum
benefit. Ms JB should be advised that she may not see
the effect immediately and that it is normal to
experience good and bad days, but an overall
improvement in her mood will be likely. If she sees no
improvement in 6 weeks she should consult with her
doctor again.
Ms JB needs to be careful when considering any
complementary medication and should always check
with her doctor or pharmacist beforehand. there are
known interactions between Valerian with SSRIs such
as escitalopram, and the combination should be
avoided.

Your justification for not taking the plant along with escitalopram will lead to
recommending: increased sediation

You selected the

following as reasons not Potential for interaction with
Correct decision
to recommend: meds patient is taking

Patient notes

Your Notes Feedback

 No feedback
You did not enter any
patient notes

Counselling notes

Your Notes Feedback

JB appears to be suffering from insomnia

You did not enter any due to depression and anxiety related to
counselling notes financial stress, she is also consuming a
large amount of caffeine, which is likely to
be contributing to her inability to fall
asleep.
Ms JB should reduce the amount of
coffee and any other sources of caffeine
she might be drinking throughout the day.
She should be having no more than 4
cups of coffee a day and her last coffee
should be no later than 6 hours before
she intended to go to bed. If she is going
to reduce caffeine intake she needs to do
it gradually to avoid any issues such as
rebound headaches.
selective serotonin reuptake inhibitors
(SSRIs) such as escitalopram can take
from 1 to 2 weeks for maximum benefit.
Ms JB should be advised that she may
not see the effect immediately and that it
is normal to experience good and bad
days, but an overall improvement in her
mood will be likely. If she sees no
improvement in 6 weeks she should
consult with her doctor again.
Ms JB needs to be careful when
considering any complementary
medication and should always check with
her doctor or pharmacist beforehand.
there are known interactions between
Valerian with SSRIs such as
escitalopram, and the combination
should be avoided.

Patient Fact Finding

Generic feedback: Your Fact Finding for this exercise was ok. You nearly gathered
all of the essential information to complete the exercise but
missed a few questions.
Note from your tutor: you must ask about symptomes.

You inquired about about

these topics: Alcohol consumption Asked

Allergies Required

Previous use of medication(s) Asked

Other medications Required

Pregnant Required

Have any of daily habits changed ? Required

when do you usually go to sleep and when do you

get up in the morning?
Required

You should have inquired

about about these topics: Age

Symptoms