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[How do Argentinean psychiatrists treat depression?]
Eduardo A Leiderman1, Martín Nemirovsky, Irene Elenitza
11ra Cátedra de Farmacología, Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, Piso 15, CP 1113, Buenos Aires, Argentina. edule@psi.uba.ar
Vertex (Buenos Aires, Argentina)
|February 15, 2008
Summary
Argentinean psychiatrists widely use antidepressants for major depression, with common choices like paroxetine and sertraline. However, prescribing practices showed discrepancies compared to established treatment guidelines.
Area of Science:
- Psychiatry
- Pharmacology
Context:
- Major depression treatment in Argentina.
- Survey of 402 psychiatrists in October 2005.
Purpose:
- To analyze Argentinean psychiatrists' prescribing habits for major depression.
- Compare these practices with existing treatment guidelines.
Summary:
- 88.2% of psychiatrists believe all depressed patients require medication.
- Paroxetine, sertraline, and fluoxetine were most prescribed for outpatients; venlafaxine for inpatients.
- Most favored 12-24 month antidepressant therapy post-remission, with stable dosages.
- Dual antidepressants and SSRIs were the most common combination.
- Augmentation strategies primarily involved adding other antidepressants, with limited use of lithium or thyroid hormones.
- Prescribing patterns varied based on physician-specific factors.
Impact:
- Reveals significant differences between clinical practice and evidence-based guidelines for major depression treatment.
- Highlights the need for further investigation into the reasons behind these discrepancies.
- Suggests developing strategies to bridge the gap between practice and guidelines for improved patient outcomes.
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