Treatment of choice for acute depression is?
Correct Answer: SSRIs
Description: Ans. is 'a' i.e., SSRIs Treatment modalities for depression1) Drugs: - The treatment of major depression usually requires starting pharmacotherapy with antidepressants.Antidepressants are: -A. Tricyclic antidepressants (TCAs):- Imipramine, Amitriptyline, Trimipramine, Clomipramine, Desipramine, Nortriptyline, Amoxapine, Reboxetine.B. SSRI (selective serotonin reuptake inhibitors): - Fluoxetine, Paroxetine, sertaline, Citalopram, Escitalopram. These drugs devoid of side effects seen with TCAs and are safe in elderly.C. Atypical antidepressants Trazodone, Mianserine, Mitrazapine, Venlafaxine, Duloxetine, Tianeptine, Amineptine, Bupropion.2) ECT (Electroconvulsive therapy):- Indications of ECT in depression are : - i) Suicidal risk ii) Depression with psychotic feature iii) Resistant depression iv) Severe agitated or stuporous depression with lack of self care.3) Psychotherapy: - Supportive psychotherapy, cognitive behavioral psychotherapy.Choice of Antidepressants* There is no ideal antidepressant. First choice is determined by side effect profile least objectionable to patient's physical status, severity of disorder including self harm, patient preference & nature of any associated illness.* Since SSRIs are comparatively free of side effects and are not costly, they are generally recommended as first choice antidepressants. Where there is a previous history of response to a specific drug or class, the best first choice is that antidepressant.
Category:
Psychiatry
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now