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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by pseudoname on May 18, 2006, at 16:38:00
Acta Psychiatrica Scandinavica (June 2006); v 113(6): 460+
“Antidepressants: general practitioners' opinions and clinical practice” by S Rambelomanana [et al]Objective: To describe and compare general practitioners' (GPs) opinions on antidepressant drugs and their prescriptions to depressed patients.
Method: Between November 2000 and July 2001 a representative sample of French GPs was asked their opinion of the 15 most prescribed antidepressants, and then to describe the treatments of the current depressive episode of four depressive patients each, their changes and the reasons thereof.
Results: One hundred and eighty-one GPs and 778 patients participated. The best-ranked antidepressants by the GPs were paroxetine, fluoxetine, sertraline and clomipramine for efficacy, and paroxetine, tianeptine, sertraline and fluoxetine for tolerability. In patients, the drugs most often prescribed were fluoxetine, paroxetine, and sertraline. Those least often stopped for intolerance were moclobemide (0%), dosulepine (0%), venlafaxine (4.5%) and citalopram (5.0%), and maprotiline (0%), citalopram (1.7%) and venlafaxine (2.3%) for lack of efficacy. The best predictor for prescription of antidepressants was the GPs' overall ranking, itself depending on opinions of the tolerability and efficacy of the drug. However, the GPs' OPINIONS OF TOLERABILITY AND EFFICACY WERE NOT RELATED TO THE RATES OF TREATMENT DISCONTINUATION FOR INTOLERABILITY OR INEFFICACY.
Conclusion: Prescriber opinion does not seem related to actual product performance.
Posted by bassman on May 18, 2006, at 18:57:28
In reply to How GPs pick ADs, posted by pseudoname on May 18, 2006, at 16:38:00
Oh, that can't be true! Doc's always listen very carefully to their patients and never make decisions on their own prejudice of what is supposed to happen. :>} What's scary is that if the docs had put the names of the drugs in a hat and picked them out at random, they probably would have done better.
The NY Times had an article a couple months ago about how people are making their own choices for AD's, etc. because they don't have a lot of confidence in the medical community in this area.
Posted by Phillipa on May 18, 2006, at 21:52:08
In reply to Re: How GPs pick ADs, posted by bassman on May 18, 2006, at 18:57:28
Gee I wonder why? Mine didn't even know about the washout for EMSAM.Maybe I should have him prescribe it for someone I don't like who is on an ad. Problem is I like everyone. Love Phillipa
Posted by Bonnie_CA on May 20, 2006, at 20:02:24
In reply to How GPs pick ADs, posted by pseudoname on May 18, 2006, at 16:38:00
my pdoc literally said he could flip a coin to pick an SSRi LOL My faith in him is a little bit shaky, I must admit. :-(
- Bonnie
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