Skip to main content
. Author manuscript; available in PMC: 2010 Jun 14.
Published in final edited form as: JAMA. 2009 May 27;301(20):2099–2110. doi: 10.1001/jama.2009.723

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.