By switaschek, 5 May, 2020 Antipsychotic (eg, quetiapine) use controversial & off-label; not recommended in primary care, per NICE,2 WFSBP;4 OK for 2nd-line use per ADAC1
By switaschek, 5 May, 2020 BZD can be useful for crisis tx, or in combo w/ antidepressant in short term;1,2 chronic use should be avoided per NICE,2 WCA,5 WFSBP4
By switaschek, 5 May, 2020 TCAs, hydroxyzine also options, per ADAC,1 WFSBP,3,4 but side effects may be limiting; avoid TCA if pt suicidal;4 limit hydroxyzine to 5-wk course
By switaschek, 5 May, 2020 Follow-up: q2wk first 6wk, then q1mo, per ADAC;1 q2-4wk first 3mo, then q3mo per NICE2