Depression and Bipolar Disorder

Dec 1, 2005 Issue
St. John's Wort [Article]

St. John's wort has been used to treat a variety of conditions. Several brands are standardized for content of hypericin and hyperforin, which are among the most researched active components of St. John's wort. St. John's wort has been found to be superior to placebo and equivalent to standard antid...

Oct 1, 2005 Issue
Postnatal Depression [Clinical Evidence Handbook]

What are the effects of drug and nondrug treatments?

Sep 15, 2005 Issue
Duloxetine (Cymbalta) for Treatment of Major Depressive Disorder [STEPS]

Duloxetine is safe and effective for the treatment of major depressive disorder. Because of its expense and the lack of data supporting its superiority over other antidepressants, it should be used as an alternative if other agents are ineffective or are not tolerated.

Feb 1, 2005 Issue
Antidepressants and Antiepileptic Drugs for Chronic Non-Cancer Pain [Article]

The development of newer classes of antidepressants and second-generation antiepileptic drugs has created unprecedented opportunities for the treatment of chronic pain. These drugs modulate pain transmission by interacting with specific neurotransmitters and ion channels. The actions of antidepressa...

Oct 1, 2004 Issue
Optimal Dosage of Tricyclic Antidepressants [Cochrane for Clinicians]

Although the quality of the data limits the strength of the recommendation, current evidence shows that 75 to 100 mg per day of a tricyclic antidepressant is more effective than placebo. Higher dosages are not more effective and are associated with more dropouts because of side effects.

Sep 15, 2004 Issue
Efficient Identification of Adults with Depression and Dementia [Article]

Family physicians must decide how to screen for depression or dementia and which patients to screen. Mental health questionnaires can be helpful. In practice-based screening, questionnaires are administered to all patients, regardless of risk status. In case-finding screening, questionnaires are adm...

May 15, 2004 Issue
Depression in Later Life: A Diagnostic and Therapeutic Challenge [Article]

Depression in elderly persons is widespread, often undiagnosed, and usually untreated. The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Because there is no reliable diagnosti...

Dec 1, 2003 Issue
Escitalopram (Lexapro) for Depression. [STEPS]

While escitalopram has proved to be an effective treatment for major depression, it has not been shown to be significantly more effective, safer, or better tolerated than citalopram or other antidepressants.

Apr 15, 2003 Issue
Premenstrual Syndrome [Article]

Premenstrual syndrome, a common cyclic disorder of young and middle-aged women, is characterized by emotional and physical symptoms that consistently occur during the luteal phase of the menstrual cycle. Women with more severe affective symptoms are classified as having premenstrual dysphoric disord...

Apr 1, 2003 Issue
Screening for Depression [Putting Prevention into Practice]

Case study: Your office is reviewing its disease screening policies and procedures, and you wonder if depression screening should be included. You are concerned about the effectiveness of screening, your partners' comfort with depression diagnosis and treatment, and the amount of time screening would take.

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