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Do not use electroconvulsive therapy (ECT) routinely for people with moderate depression but consider it if their depression has not responded to multiple drug treatments and psychological treatment.
NICE
National Institute for Health and Clinical Excellence (NICE)
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ver más ... 2012Do not switch to, or start, dosulepin because evidence supporting its tolerability relative to other antidepressants is outweighed by the increased cardiac risk and toxicity in overdose.
NICE
National Institute for Health and Clinical Excellence (NICE)
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ver más ... 2012Although there is evidence that St John s wort may be of benefit in mild or moderate depression, practitioners should not prescribe or advise its use by people with depression
NICE
National Institute for Health and Clinical Excellence (NICE)
This is because of uncertainty about appropriate doses, persistence of effect, variation in the nature of preparations and potential serious interactions with other drugs (including oral contraceptives, anticoagulants and anticonvulsants)
ver más ... 2012Do not use antidepressants routinely to treat persistent subthreshold depressive symptoms or mild depression because the risk benefit ratio is poor.
NICE
National Institute for Health and Clinical Excellence (NICE)
Consider them for people with: A past history of moderate or severe depression or: Initial presentation of subthreshold depressive symptoms that have been present for a long period (typically at least 2 years) or Subthreshold depressive symptoms or mild depression that persist(s) after other interventions.
ver más ... 2012Current evidence suggests that there are no major safety concerns associated with transcranial magnetic stimulation (TMS) for severe depression.
NICE
National Institute for Health and Clinical Excellence (NICE)
There is uncertainty about the procedure's clinical efficacy, which may depend on higher intensity, greater frequency, bilateral application and/or longer treatment durations than have appeared in the evidence to date. TMS should therefore be performed only in research studies designed to investigate these factors.
ver más ... 2012