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Factors associated with antidepressant choice

J J Huszonek1, M J Dewan, M P Donnelly

  • 1Psychiatry Service, Veterans Affairs Medical Center, Syracuse, NY.

Psychosomatics
|January 1, 1995
PubMed
Summary

Psychiatrists prescribe antidepressants with fewer side effects, while nonpsychiatrists favor those with more. This study examined prescribing patterns and physician concerns regarding antidepressant side effects.

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Area of Science:

  • Psychiatry
  • Pharmacology

Background:

  • Non-psychiatrists may prescribe antidepressants (ADs) with more side effects (SEs) compared to psychiatrists.
  • Understanding physician prescribing patterns and concerns is crucial for optimizing AD therapy.

Purpose of the Study:

  • To examine antidepressant prescribing patterns among psychiatrists and nonpsychiatrists.
  • To investigate the conditions for which ADs are prescribed.
  • To identify physician concerns regarding AD side effects.

Main Methods:

  • A questionnaire was used to survey physicians regarding their AD prescribing habits.
  • Data collected included prescribed ADs, reasons for prescription, and physician concerns about specific side effects.

Main Results:

  • Psychiatrists reported prescribing nortriptyline and desipramine more frequently than nonpsychiatrists.
  • Nonpsychiatrists were more likely to prescribe amitriptyline.
  • Nonpsychiatrists more frequently prescribed ADs for pain and expressed less concern about orthostatic hypotension.

Conclusions:

  • Significant differences exist in AD prescribing patterns between psychiatrists and nonpsychiatrists.
  • Physician concern regarding specific side effects, such as orthostatic hypotension, may influence AD choice.
  • Further research is needed to explore all factors influencing AD selection.

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