Symptom Finder - Treatment of Adult Depression
DEPRESSION, ADULT
1. Consult psychiatrist or psychologist to determine risk of suicide and the type of depression and provide psychotherapy.
2. Paroxetine (Paxil): 10–50 mg daily or citalopram (Celexa): 20–60 mg daily.
3. If above ineffective, try venlafaxine (Effexor) 25–125 mg tid or bupropion (Wellbutrin) 100–150 mg h.s. or tid.
4. Alternatively, try trazodone (Desyrel) 50–150 mg h.s. or qid.
5. Look for organic causes of depression such as dementia, multiple sclerosis, hyperthyroidism, hypothyroidism, Cushing syndrome, menopause, and nutritional disorders.
6. For refractory cases, consult a psychiatrist to consider lithium or electroconvulsive therapy.
1. Consult psychiatrist or psychologist to determine risk of suicide and the type of depression and provide psychotherapy.
2. Paroxetine (Paxil): 10–50 mg daily or citalopram (Celexa): 20–60 mg daily.
3. If above ineffective, try venlafaxine (Effexor) 25–125 mg tid or bupropion (Wellbutrin) 100–150 mg h.s. or tid.
4. Alternatively, try trazodone (Desyrel) 50–150 mg h.s. or qid.
5. Look for organic causes of depression such as dementia, multiple sclerosis, hyperthyroidism, hypothyroidism, Cushing syndrome, menopause, and nutritional disorders.
6. For refractory cases, consult a psychiatrist to consider lithium or electroconvulsive therapy.
