Algorithm for the Pharmacotherapy of Depression

Version 2.7 (January 24, 2003)
 
	 

By David N. Osser, M.D.

Associate Professor of Psychiatry
Harvard Medical School

©1996-2003 Mental Health Connections, Inc, Lexington, MA

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Statement of appropriate use of these algorithms:

Agreement is required:

THE AUTHORS INTEND THAT THIS SOFTWARE SHOULD BE USED FOR DECISION SUPPORT, CONSULTATION, AND ADVISORY INPUT TO CLINICAL CARE. THE ALGORITHMS SHOULD NOT BE CONSTRUED OR USED AS AN ALTERNATIVE TO THE INDEPENDENT DECISION PROCESS OF THE PHYSICIAN. THERE ARE NUMEROUS CONSIDERATIONS UNIQUE TO EACH PATIENT WHICH THE PHYSICIAN MUST TAKE INTO ACCOUNT BEFORE DECIDING WHAT TREATMENT TO OFFER. SOME OF THESE CONSIDERATIONS ARE INCLUDED IN THE ALGORITHMS, BUT MANY ARE NOT. ONLY THE PHYSICIAN IS IN A POSITION TO MAKE A COMPLETE ASSESSMENT OF THE PATIENT AND TO JUDGE THE RELEVANCE OF THESE RECOMMENDATIONS TO THE ACTUAL CLINICAL SITUATION.

ANY ADVERSE OUTCOME CONNECTED WITH FOLLOWING OR NOT FOLLOWING THE RECOMMENDATIONS FOUND IN THESE ALGORITHMS IS THE RESPONSIBILITY OF THE PRESCRIBING PHYSICIAN.

THE AUTHORS HAVE TRIED TO ENSURE THAT INFORMATION IN THE ALGORITHMS (INCLUDING DRUG DOSAGES, SCHEDULES, AND SIDE EFFECTS) IS ACCURATE AND CONSISTENT WITH STANDARDS SET BY THE U.S. FOOD AND DRUG ADMINISTRATION AND THE GENERAL MEDICAL COMMUNITY. THE INTENTION IS TO UPDATE THE INFORMATION AS MEDICAL RESEARCH/PRACTICE ADVANCES AND STANDARDS CHANGE. HOWEVER, THERE IS NO GUARANTEE THAT THIS WILL OCCUR, OR WILL CONTINUE TO OCCUR FOR AN UNLIMITED PERIOD OF TIME. FOR THIS REASON, AND BECAUSE HUMAN AND MECHANICAL ERRORS OCCUR, USERS SHOULD EXERCISE THEIR INDEPENDENT PROFESSIONAL JUDGMENT AT ALL TIMES. USERS SHOULD REVIEW THE LATEST PACKAGE INFORMATION OF THE MANUFACTURERS OF ALL MEDICATIONS MENTIONED IN THE ALGORITHMS

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