Summary:
Data on augmentation of antidepressant treatment are presented. The authors analyzed retrospectivelly records of patients hospitalised during 2000 in the psychiatric department in Brno
with the diagnosis of depressive disorder. Demographic data, and antidepressant treatment on
admission and discharge were assessed. The sample included 109 patients, 46 men and 63 women,
i.e. 7% of the total number of hospitalisations in 2000 as compared to 19% in 1995. The mean age
was 55 years, the mean period of hospitalisation 50 days. On admission in 80/109 of those treated
with antidepressants 37/80 (46%) had monotherapy, (30/80, 46,5%) combinations with other psychotropic drugs, mostly with benzodiazepines. Combinations of two antidepressants were used in
12/80 (15%). The most frequently used antidepressant were SSRI (30/80, 47,5%), dual-action antidepressants were used in 8/80 (10%). On discharge more patients had monotherapy (39/69, 57%)
and the combinations of two antidepressants were almost eliminated. SSRI remained the most
frequently used antidepressants (24/69, 42%) and the percentage of patients treated with dual-action antidepressants increased (42%).
Key words:
depression, treatment, hospitalisation, combination of antidepressants, dual-action
antidepressants.
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