Mental Health Book

Disease Complications

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http://www.fpnotebook.com/

Depression Management Special CircumstancesAka: Depression Management in Pregnancy, Depression Management in Cardiovascular Disease

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  1. See Also
    1. Major Depression
    2. Depression Management
    3. Depression Medical Management
    4. Depression with Psychotic Features Management
  2. Pregnancy
    1. See Psychiatric Medications in Pregnancy
    2. Avoid medications during first trimester
    3. Electroconvulsive Therapy for severe Depression
  3. Cardiovascular Disease (e.g. Coronary Artery Disease)
    1. Selective Serotonin Reuptake Inhibitor preferred
      1. Avoid Venlafaxine (Effexor) due to cardiac effects
      2. Avoid Fluoxetine (Prozac) with Beta Blockers
    2. Avoid Tricyclic Antidepressants
      1. Risk of hypotensive effect
      2. Potentially pro-arrhythmic effect
        1. Similar effect to Class I Antiarrhythmics
      3. Significant Drug Interactions
  4. References
    1. Guck (2001) Am Fam Physician 64(4):641
    2. Pathare (1997) BMJ 315:661

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