By switaschek, 5 May, 2020 In pts younger than 30 yo, warn of ↑suicide risk and monitor closely, per NICE;2 use caution if comorbid bipolar I disorder1
By switaschek, 5 May, 2020 Discuss side effects, interactions, latency (2-8wk), duration of tx, withdrawal w/ pts before starting2
By switaschek, 5 May, 2020 Paroxetine and escitalopram (SSRI), venlafaxine and duloxetine (SNRI) approved for GAD; off-label sertraline use common, encouraged by ADAC,1 NICE2 and WFSBP3
By switaschek, 5 May, 2020 Factor into tx decision: pt pref, drug side effects, pt time availability,2 motivation, engagement; severity of dz; clinicians’ skills/experience; availability of psychological tx; prior response to tx; comorbid medical or psych dz;3 monetary consideratio
By switaschek, 5 May, 2020 Pharmacologic tx and psychologic tx “partners, not alternatives” per WFSBP2