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Primary Care

Major Depressive Disorder   

Questions discussed in this category


When do you choose to switch to antidepressants vs augmentation in treatment-resistant depression?
5 Answers available

How do you approach treatment-resistant depression and anxiety related to menopause refractory to SSRI/SNRIs and hormone replacement therapy?
1 Answer available

What strategies have you found helpful to manage SSRI associated night sweats?
4 Answers available

Would you consider over-the-counter dextromethorphan (low dose, slow titration) as augmentation in MDD?
Considering a growing interest in the use of dextromethorphan for depression (Majeed et al., PMID 33682569).
2 Answers available

What do you do when a patient experiences multiple rounds of antidepressant-related tachyphylaxis?
4 Answers available
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Papers discussed in this category


Clinical toxicology (Philadelphia, Pa.), 2008-09
Dextromethorphan-induced serotonin syndrome.

BMJ case reports, 2017-08-07
Serotonin syndrome caused by drug to drug interaction between escitalopram and dextromethorphan.

The Journal of neuroscience : the official journal of the Society for Neuroscience, 2016-12-14
Aging Affects Dopaminergic Neural Mechanisms of Cognitive Flexibility.

Life (Basel, Switzerland), 2023 Apr 19
Pramipexole Augmentation for Treatment-Resistant Unipolar and Bipolar Depression in the Real World: A Systematic Review and Meta-Analysis.

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