Optimising Antidepressant Use in Clinical Practice: Considering External Factors / 신경정신의학
Journal of Korean Neuropsychiatric Association
;
: 22-27, 2008.
Article
in Korean
| WPRIM
| ID: wpr-30119
ABSTRACT
Depressive illness is a major public health problem with important medical, social and economic implications. The efficacy of various antidepressants in treating depression has been demonstrated in randomized controlled trials (RCTs). However, these studies do not adequately address the complexities of clinical practice. Although most of RCTs assumed there was no difference in efficacy between the tricyclic antidepressants (TCAs) and serotonin specific reuptake inhibitors (SSRIs), naturalistic studies show that patients who take TCAs often receive subtherapeutic doses for inadequate duration than those with SSRIs. Because the benefits of the implementation of current guidelines are limited, the optimal choice of medication must be guided by detailed history and careful consideration of the real-world efficacy of antidepressants and long-term health care costs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Serotonin
/
Public Health
/
Health Care Costs
/
Depression
/
Antidepressive Agents
/
Antidepressive Agents, Tricyclic
Type of study:
Controlled clinical trial
/
Practice guideline
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neuropsychiatric Association
Year:
2008
Type:
Article
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