Appendix. Antidepressant Selection and Dosing Details in SCAMP.
Priority | Indications and Precautions | Class* | Drug | Dose (in mg) | |
---|---|---|---|---|---|
Initial | Dose Increases | ||||
1 | Avoid if cardiovascular disease, abnormal ECG, or hypertension not well controlled | SNRI | Venlafaxine | 75 | 150, 225 |
2 | SSRI of choice | SSRI | Fluoxetine | 20 | 30, 40 |
2 | SSRI of choice if cardiovascular disease | Sertraline | 50 | 100, 150 | |
3 | If failed first SSRI (fluoxetine or sertraline) | Citalopram | 20 | 30, 40 | |
4 | If obese or weight gain/sexual side effects | Other | Bupropion | 200 | 300, 400 |
4 | If insomnia a problem. Avoid if obese. | Mirtazapine | 15 | 30, 45 | |
5 | Avoid if cardiovascular disease, abnormal ECG, or hypertension not well controlled | TCA | Nortriptyline | 25 | 50, 75 |
SNRI = serotonin-norepinephrine reuptake inhibitor. SSRI = selective serotonin reuptake inhibitor. TCA = tricyclic antidepressant.