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Does the rate of discontinuation of antidepressants affect the risk of illness recurrence?
398 patients (137 men) with DSM-IV diagnosis of recurrent major depressive disorder, panic disorder, bipolar I or II disorder who had been treated with antidepressants for an average 8.5 months. Mean age was 41.9 years at antidepressant discontinuation.
Mood disorders centre affiliated with the University of Cagliari in Sardinia.
Rapid discontinuation (over 1-7 days) or gradual discontinuation (over 2 or more weeks).
Time to first new episode of depression or panic following treatment cessation.
Mean follow-up 2.8 years (censored at 100 months).
62.6% of patients received tricyclic-like agents and 37.4% received other antidepressants during the index episode of major depression or panic. 188 patients discontinued their treatment rapidly and 210 discontinued gradually. 80.7% of patients decided to discontinue their own treatment, the remainder were advised by their prescribing clinician. Patients who were moderately clinically depressed, anxious …
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