Antidepressant prescription pattern in the presence of medical co-morbidity: REAP-AD 2013 Study

S. Grover, A. Avasthi, A. Tripathi, A. J. Tanra, K. Y. Chee, Y. L. He, H. F.K. Chiu, H. Kuga, M. S. Lee, M. Y. Chong, P. Udormatn, S. Kanba, S. Y. Yang, T. M. Si, K. Sim, C. H. Tan, W. W. Shen, Y. T. Xiang, N. Sartorius, N. Shinfuku

研究成果: 雜誌貢獻文章同行評審

1 引文 斯高帕斯(Scopus)


Objective: To evaluate the prescription pattern of antidepressants in patients with medical co-morbidity from major psychiatric centres in Asia. Methods: The Research on Asian Psychotropic Prescription Pattern for Antidepressants (REAP-AD 2013) collected data from 42 psychiatric centres in 10 Asian countries and regions. Antidepressant prescriptions of 2320 patients with various psychiatric disorders were evaluated. Of these, 370 patients who had specified medical co-morbidities formed the study cohort. Results: Escitalopram (20%) and mirtazapine (20%) were the most commonly prescribed antidepressants in patients with medical co-morbidity followed by sertraline (16%), trazodone (15%), and paroxetine (12%). Overall, more than half (52%; 247/476) of prescriptions comprised selective serotonin reuptake inhibitors. Slightly less than two-thirds (63%; n = 233) of patients received at least 1 selective serotonin reuptake inhibitor. In addition, 79% of patients were prescribed only 1 antidepressant. The mean number of antidepressants used per patient was 1.25 (standard deviation, 0.56). There were subtle differences in the most preferred antidepressant across medical illnesses such as diabetes mellitus, liver dysfunction, acid peptic disease, and cerebrovascular disease. Differences were also seen in prescription patterns across different countries. Conclusion: Although selective serotonin reuptake inhibitors formed the bulk of antidepressant prescriptions in the presence of medical co-morbidity, mirtazapine was also commonly used in the presence of medical co-morbidities. Specified medical morbidities do influence the selection of antidepressants.

頁(從 - 到)99-107
期刊East Asian Archives of Psychiatry
出版狀態已發佈 - 9月 2015

ASJC Scopus subject areas

  • 精神病學和心理健康


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