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Rational use of antidepressants.
Prim Care. 1987 Dec; 14(4):773-83.PC

Abstract

The key to the proper treatment of affective illness is a correct diagnosis of the subtype of depressive illness. Thus, primary treatment recommendations include the tricyclic antidepressants for a major depressive episode, electroconvulsive therapy for a major depressive episode with psychotic features, and monoamine oxidase inhibitors for dysthymic disorder and atypical depressive episodes. Nonresponding patients are treated with either lithium augmentation of TCA therapy or ECT. Second-generation antidepressants are recommended in situations where their adverse effect profiles offer significant advantages over TCAs in an individual patient. Maintenance antidepressant treatment may be necessary to prevent recurrent depressive episodes.

Authors+Show Affiliations

College of Pharmacy, University of Iowa, Iowa City.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

3324134

Citation

Perry, P J., and B Alexander. "Rational Use of Antidepressants." Primary Care, vol. 14, no. 4, 1987, pp. 773-83.
Perry PJ, Alexander B. Rational use of antidepressants. Prim Care. 1987;14(4):773-83.
Perry, P. J., & Alexander, B. (1987). Rational use of antidepressants. Primary Care, 14(4), 773-83.
Perry PJ, Alexander B. Rational Use of Antidepressants. Prim Care. 1987;14(4):773-83. PubMed PMID: 3324134.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rational use of antidepressants. AU - Perry,P J, AU - Alexander,B, PY - 1987/12/1/pubmed PY - 1987/12/1/medline PY - 1987/12/1/entrez SP - 773 EP - 83 JF - Primary care JO - Prim. Care VL - 14 IS - 4 N2 - The key to the proper treatment of affective illness is a correct diagnosis of the subtype of depressive illness. Thus, primary treatment recommendations include the tricyclic antidepressants for a major depressive episode, electroconvulsive therapy for a major depressive episode with psychotic features, and monoamine oxidase inhibitors for dysthymic disorder and atypical depressive episodes. Nonresponding patients are treated with either lithium augmentation of TCA therapy or ECT. Second-generation antidepressants are recommended in situations where their adverse effect profiles offer significant advantages over TCAs in an individual patient. Maintenance antidepressant treatment may be necessary to prevent recurrent depressive episodes. SN - 0095-4543 UR - https://www.unboundmedicine.com/medline/citation/3324134/Rational_use_of_antidepressants_ L2 - https://medlineplus.gov/antidepressants.html DB - PRIME DP - Unbound Medicine ER -
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