Discontinuing antidepressants requires cautious planning

Discontinuing antidepressants requires cautious planning

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The choice to cease prescribing long-term anti-depressants needs to be made solely after cautious preparation by GPs and their sufferers, College of Queensland analysis has discovered.

The qualitative research was based mostly on interviews with 22 GPs working in city and regional areas, who stated there was no standardized strategy.

Affiliate Professor Riitta Partanen from UQ’s Rural Scientific College stated GPs informed researchers the discontinuation of such prescriptions was normally difficult.

“It begins with contemplating a affected person’s social and relational context, and is a journey involving cautious preparation, tailor-made care and common assessment,” Dr. Partanen stated.

“Stopping pointless long-term use wants to start out at initiation, and GP schooling and coaching should give enough consideration to prescribing, repeat prescribing and deprescribing.

“The research suggests GPs want the scientific time to have interaction with sufferers with decision-making round prescribing and discontinuing antidepressants.”

She stated the analysis added to present proof that repeat prescriptions occurred inside a posh medical and relational setting.

“They’re by no means simply administrative encounters to get a script,” Dr. Partanen stated.

“The research captures a set of steps GPs take along with their sufferers to provoke and set-up enough assist earlier than, throughout and after discontinuation.






Credit score: College of Queensland

“It reveals the complicated decision-making GPs undertake in figuring out whether or not a affected person is able to discontinue.”

In accordance with the OECD, Australians have been the second largest per-capita customers of antidepressants of the 30 international locations for which information was out there in 2000 and 2015.

Dr. Partanen stated earlier work had proven that long-term antidepressant use was on the rise and most antidepressant prescription befell usually follow.

“About one third of long-term customers don’t have any clear motive for continued use,” she stated.

“So there may be scope inside main take care of cautious therapy re-evaluation and discontinuation of antidepressants.”

The research is revealed within the British Journal of Common Observe.


Failure of well timed cease to sure prescribed drugs is frequent


Extra data:
Lengthy-term antidepressant use usually follow: a qualitative research of GPs’ views on discontinuation. British Journal of Common Observe. DOI: doi.org/10.3399/BJGP.2020.0913

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College of Queensland


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