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Discontinuing Antidepressant Medications
Giovanni Fava
出版
Oxford University Press
, 2021
主題
Medical / Clinical Medicine
Medical / Psychiatry / General
Psychology / Psychopathology / Addiction
ISBN
0192896644
9780192896643
URL
http://books.google.com.hk/books?id=eNFAEAAAQBAJ&hl=&source=gbs_api
EBook
SAMPLE
註釋
One in six people in the US is currently taking psychotropic drugs. In 80% of cases, the medication is taken for long-term use and predominantly involves new-generation antidepressants, such as SSRIs (e.g. paroxetine) and SNRIs (e.g. venlafaxine). When patients want to stop taking these drugs and/or their physicians decide it is time for them to stop, substantial problems often can ensue. About 50% of patients experience withdrawal symptoms that do not necessarily subside after a few days or weeks and may be severe and threatening. Physicians often do not know what to do in these situations. As a result, patients experiencing the anguish and mental pain of withdrawal syndromes are unlikely to receive appropriate medical attention.
Discontinuing antidepressants is a highly technical challenge that requires specific strategies. This handbook guides clinicians through each clinical step (assessment; what the counter-indications would be for stopping or continuing; and how discontinuation can best be achieved). It provides a detailed account of the assessment and management strategies, with many case illustrations and clinical examples, drawing from the literature that is available and the extensive personal experience of the author.