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A Survey of Psychiatrists' Practices Related to the Use of Tricydic Antidepressants
Solomon C. Goldberg; David H. Tilley; Robert O. Friedel; Robert M. Hamer; Thomas A. Ban
Psychiatric Services 1986; doi:
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The authors are indebted to Connie Brockett, Patricia Bale, and Valerie Stephens for their work in collecting and tabulating the data and to Mitchell D. Balter, Ph.D., for his encouragement and support.

The Department of Psychiatry at the Medical College of Virginia, Virginia Commonwealth University, Box 710, Richmond, Virginia 23298

Psychiatric Services for Charter Medical Corporation

Charter Westbrook Hospital in Richmond

The Departments of Psychiatry and Biostatistics at the Medical College of Virginia

Vanderbilt University in Nashville, Tennessee

1986 American Psychiatric Association

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Abstract

Four groups of psycbiatrists were surveyed about their clinical practices in relation to the use of tricyclic antidepressants to determine if there is any unanimity about procedures. The four groups were U.S. experts in the pharmacotherapy of depression, faculty who taught the pharmacotherapy of depression in accredited departments of psychiatry, general psychiatrists in Virginia who treated depressions with drugs, and non-U.S. experts. The authors report on practices related to dosage buildup, side effects, concurrent medical conditions, blood level information, and maintenance on tricyclics. They f ound moderate to high consensus on most issues; exceptions were treatment of a patient with chronic hypertension and maintenance dosage and duration.

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