Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Antidepressants: To prescribe or not prescribe? That is the question
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MENTAL HEALTH
Antidepressants: To prescribe or not prescribe? That is the question
Thursday 9 November 2017, 09:33 AM
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The first patient was made redundant just prior to his symptoms of depression
Two patient examples illustrate the different management approaches required for depression of the same severity, presenting in men of the same age on the same day
Pharmac data show prescriptions for antidepressants have climbed 62.5 per cent in nine years
During a busy Friday morning clinic, you see two ma
References
1. BPAC NZ. Management of depression in primary care. Best Practice J 2009.
2. Pharmac. Year in review 2016: mental health (antidepressants).
3. Kirsch I, Deacon BJ, Huedo-Medina TB et al. Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLos Med 2008; (2):e45.
4. Arroll B, Moir F, Kendrick T. Effective management of depression in primary care: a review of the literature. BJGP Open 27 Jun 2017