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How do clinicians choose antidepressants?

  • Rob Macpherson (a1) and Ed Robson (a2)
Abstract

A survey of the prescribing practice of a group of psychiatrists working in a Bristol NHS trust found that their preferred choice of antidepressants was surprisingly similar, but reported doses of antidepressants often fell below generally accepted minimum levels. Clinicians used mainly newer antidepressants rather than tricyclics. The choice of antidepressant was based on side effect profile, overdose danger, training and personal experience of efficacy. Cost and drug company advertising had little effect on choice. Difficulties in involving depressed patients in treatment decisions are discussed.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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Bazire, S. (1993) Psychotropic Drug Directory. Quady Publishing.
Beaumont, G. (1989) The toxicity of antidepressants. British Journal of Psychiatry, 154, 454458.
Eccleston, D. (1993) The economic evaluation of antidepressant drug therapy. British Journal of Psychiatry, 163, (Supplement 20), 56.
Joyce, P.R. & Paykel, E.S. (1989) Predictors of drug response in depression. Archives of General Psychiatry, 46, 8999.
Slater, M. (1992) The economic evaluation of antidepressant therapy. Psychiatric Bulletin, 16, 566.
Worrall, E.P. (1989) Consent to treatment and clinical decision analysis. Psychiatric Bulletin, 13, 7981.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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How do clinicians choose antidepressants?

  • Rob Macpherson (a1) and Ed Robson (a2)
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