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The Journal of School Nursing
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Feature Article

The Use of Antidepressants in School-Age Children

Kelly Brock, PharmD

Kelly Brock, PharmD, was an assistant professor in the Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL, during the time this work was done

Bich Nguyen, PharmD Candidate

Bich Nguyen is a PharmD candidate in the Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL

Nianci Liu, PharmD Candidate

Nianci Liu is a PharmD candidate in the Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL

Melissa Watkins, PharmD Candidate

Melissa Watkins is a PharmD candidate in the Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL

Thomas Reutzel, PhD

Thomas Reutzel, PhD, is a professor in the Department of Pharmacy Practice, Midwestern University Chicago College of Pharmacy, Downers Grove, IL

Approximately 5% of the pediatric population suffers from depression. Children suffering from depression should be treated first with some type of psychotherapy, cognitive therapy, and/or education. Pharmacotherapy (medications) should be used only as a last resort for those children suffering from severe, chronic, or recurring depression. The only antidepressant approved by the U.S. Food and Drug Administration for the treatment of depression in children is fluoxetine (Prozac), a selective serotonin reuptake inhibitor. In the school setting, children should be monitored closely upon the initiation of antidepressant therapy and changes in dosing or medication. They also should be monitored for side effects of the medication, response to therapy, and new signs of depression or worsening symptoms. After starting an antidepressant, children must be monitored closely for any changes in behavior, especially increased preoccupation with suicide. Any changes should be reported to the physician immediately for follow-up.

Key Words: antidepressants • delegation • depression • medications • suicide

The Journal of School Nursing, Vol. 21, No. 6, 318-322 (2005)
DOI: 10.1177/10598405050210060301
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