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8/1/09

How do I see the treatment of deHow do I see the treatment of depressionpression

I use the oldest antidepressants - fluoxetine, generally made in China, because cheap. What I do not believe that drugs take effect soon. I believe that, in the same patients, fluoxetine only two weeks to take effect, then, for other drugs is also true; In other words, according to a person, not the relationship between medicine. Generally speaking, 25% 1 week results, 50% results in 2 weeks, and the rest should be in January. Fluoxetine has been eaten around the world for more than 70 million people, so more reliable. Can be effective, the key is the right dose, and some people needed a day 40mg, can not be less effective. Normal circumstances, I do not for the insomnia patients for special treatment, told him that insomnia is not caused by depression, but depression leading to insomnia, ask him not to worry, the problem can be solved. If it is not, can be served per night plus mirtazapine not only help to fall asleep, but also similar to fluoxetine in the treatment of depression; but sometimes a number of side effects that may arise. I often allow patients to try a half tablet (15mg). Generally speaking, is a real depression, not depression schizophrenia, can be treated this way can quickly turn for the better. Of course, there are individuals that can not be resolved (usually no more than 5%), then can do several MECT or rTMS. Some people hope that the dressing was changed, I can be a waste of effort!
I asked the patient to the original dose applied for six months, hoping that he can not attack in this life. Otherwise, they will only use a much longer time to prevent relapse. What side effects did not eat the medicine, to avoid recurrence of depression, it is always cost-effective!

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