Antidepressant combinations: epidemiological considerations

Objective:  To evaluate the treatment options in patients who do not respond appropriately to a single antidepressant alone. Method:  The medical literature was reviewed. Results:  A number of strategies are available if a patient fails to respond adequately to initial antidepressant treatment, incl...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2005-11, Vol.112 (s428), p.7-10
Hauptverfasser: Agüera, L. F., Rojo, J. E., Ros, S., de la Gándara, J., de Pedro, J. M.
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container_end_page 10
container_issue s428
container_start_page 7
container_title Acta psychiatrica Scandinavica
container_volume 112
creator Agüera, L. F.
Rojo, J. E.
Ros, S.
de la Gándara, J.
de Pedro, J. M.
description Objective:  To evaluate the treatment options in patients who do not respond appropriately to a single antidepressant alone. Method:  The medical literature was reviewed. Results:  A number of strategies are available if a patient fails to respond adequately to initial antidepressant treatment, including the combination with another psychoactive drug. Evidence published to date appears to suggest that benzodiazepines are the drugs most frequently combined with antidepressants. The combination of two antidepressants together is less common, occurring in approximately 5–15% of cases showing a poor initial response. The key figures involved in such co‐prescription are psychiatrists. Conclusion:  There appears to be considerable variability in the data concerning combined prescription of antidepressants, with differences arising depending on the type of physician, the type of patient or illness and the geographical area. It is also unclear how closely research findings parallel with what doctors do in everyday practice.
doi_str_mv 10.1111/j.1600-0447.2005.00674.x
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subjects antidepressants
Antidepressive Agents - administration & dosage
Antidepressive Agents - therapeutic use
Benzodiazepines - administration & dosage
Benzodiazepines - therapeutic use
Cross-Cultural Comparison
depression
Depressive Disorder - drug therapy
Depressive Disorder - psychology
Drug Administration Schedule
drug combinations
Drug Resistance
Drug Therapy, Combination
Drug Utilization
epidemiology
Humans
Pharmacoepidemiology - statistics & numerical data
Practice Patterns, Physicians
Psychiatry - statistics & numerical data
Psychotropic Drugs - administration & dosage
Psychotropic Drugs - therapeutic use
Research Design
title Antidepressant combinations: epidemiological considerations
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