By switaschek, 16 October, 2020 Age 50 yo is recommended threshold to start screening in selected current former smokers 1 6
By vgreene, 16 October, 2020 Paroxetine not recommended as 1st line assoc w increased risk of major cardiac malformations unless pt already on paroxetine has planned pregnancy Weigh maternal fetal risks benefits of continuing paroxetine3
By vgreene, 16 October, 2020 2nd gen antidepressant use during pregnancy may be assoc w small increase in risk of preeclampsia postpartum hemorrhage miscarriage perinatal death preterm birth serotonin withdrawal syndrome resp distress pulm hypertension major cardiac malformations new
By vgreene, 16 October, 2020 In older pts TCAs such as nortriptyline most effective per ICSI 2 however APA says to avoid nortriptyline in older adults4
By vgreene, 16 October, 2020 Assess recurrence risk modify tx as needed after initiation change of tx monitor pt monthly until pt achieves remission 1 if pt achieves remission PHQ 9 4 x1mo Continue antidepressant therapeutic dose at least 6mo to darr relapse risk 1 since pts in this
