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TRD Treatment Resistance Definitions

Posted by SLS on May 14, 2004, at 9:19:19

Simple system for staging antidepressant resistance


Stage Definition


I - Failure of at least one adequate trial of one major antidepressant class

II - Stage I resistance plus failure of an adequate trial of an antidepressant in a distinctly different class from that used in Stage I

III - Stage II resistance plus failure of an adequate trial of a tricyclic antidepressant

IV - Stage III resistance plus failure of an adequate trial of a monoamine oxidase inhibitor

V - Stage IV resistance plus failure of a course of bilateral electroconvulsive therapy


Source: Thase ME, Rush AJ. When at first you don’t succeed: sequential strategies for antidepressant nonresponders. J Clin Psychiatry 1997;58(suppl 13):24.

 

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