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Antidepressant Treatment of Medical-Surgical Inpatients by Nonpsychiatric Physicians
Allan L. Callies, MD
Arch Gen Psychiatry. 1987;44(2):157-160.
Abstract
The prescribing of antidepressants by nonpsychiatric physicians on adult medical-surgical inpatient services of a university hospital was examined through the review of medical records of patients who received amitriptyline hydrochloride, doxepin hydrochloride, or imipramine hydrochloride during a one-year period. Reasons for antidepressant use were treatment of depression (56%), pain (30%), or other conditions (14%). Regardless of the reason for use, nonpsychiatric physicians were found to use relatively low dosages, rarely plan or effect dosage increases, and rarely discontinue medication.
Author Affiliations
From the Departments of Psychiatry (Mr Callies and Dr Popkin) and Medicine (Dr Popkin), University of Minnesota Medical School, Minneapolis.
Footnotes
Accepted for publication Oct 18, 1985.
Reprint requests to Box 393, Mayo Building, University Hospitals, 420 Delaware St SE, Minneapolis, MN 55455 (Mr Callies).
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