Abstract
BACKGROUND: Plasma levels can be used to monitor the clinical efficacy of tricyclic antidepressants (TCAs). In practice, the interpretation of plasma levels can be problematical, for several reasons: varying time-intervals between ingestion and blood sampling, the number of times per day a particular antidepressant is administered, the presence of active metabolites and the use of slow-release substances.
AIM: To present realistic recommendations regarding the interpretation of plasma levels of TCA in clinical practice.
METHOD: We studied the relevant literature.
CONCLUSION: On the basis of the literature we make the following recommendations:
Translated title of the contribution | Tricyclic antidepressant plasma levels in depression: a practical guide |
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Original language | Dutch |
Pages (from-to) | 695-705 |
Number of pages | 11 |
Journal | Tijdschrift voor Psychiatrie |
Volume | 55 |
Issue number | 9 |
Publication status | Published - 2013 |
Externally published | Yes |
Keywords
- Antidepressive Agents, Tricyclic/blood
- Depression/blood
- Drug Monitoring
- Humans
- Patient Compliance
- Reference Values