By vgreene, 5 October, 2020 If pt pregnant has hx of MDD prior to pregnancy responded to antidepressant meds currently stable on pharma co tx
By vgreene, 5 October, 2020 Initiate SNRIs at low dose to ensure tolerability then titrate to an effective dose1
By vgreene, 5 October, 2020 Fluoxetine has long half life may not be best in pregnancy women planning to breastfeed1
By vgreene, 5 October, 2020 Sertraline may be best choice for pregnant women most appropriate in postpartum women who intend to breastfeed1
By vgreene, 5 October, 2020 Weigh risk benefit balance to both mother fetus in continuing to offer pharmaco tx per VA1
By vgreene, 5 October, 2020 After tx initiation change monitor at regular intervals offer psychotherapy to darr relapse risk1
By vgreene, 5 October, 2020 Once in remission continue antidepressant drug therapeutic dose 6mo to darr relapse risk if high recurrence risk offer maintenance pharmaco tx for 12mo or indefinitely1
By vgreene, 5 October, 2020 Assess recurrence relapse risk Consider as potentially high risk if either of the these 1