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How Do Doctors Decide What Medication to Use?

By Nancy Schimelpfening, About.com

Updated: August 24, 2006

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Question: How Do Doctors Decide What Medication to Use?
Answer: The selection of an antidepressant is not nearly so "hit or miss" as it might feel. There is a definite logic behind the sequence of antidepressants that a doctor proceeds to try as he/she seeks the one for you. One tool available to help in selection is what's called an "algorithm", which is a flow chart that provides the best antidepressant selection based upon the answers provided to certain questions. These selections are based upon current knowledge in the field of psychiatry about what antidepressant is best for which type of depression.

Just as important as whether a drug relieves depression is how good a fit a drug is for the individual. A patient may find that a particular drug makes them feel the best they have in years, but the side-effects are intolerable.

Believe it or not, side-effects are not necessarily a bad thing. They can be good or bad, depending upon other illnesses or conditions that the patient has. If a patient has an eating disorder, a drug like Prozac that suppresses appetite may not be desirable. However, if a patient is diabetic, this same side-effect may be helpful in controlling their diabetes because they will have fewer cravings for forbidden foods.

Certain antidepressants have been found to be effective for conditions other than depression. If you have another condition along with depression that might be benefited by a particular antidepressant, a doctor may opt to try that medication. Wellbutrin is actually the same drug as Zyban, the popular stop-smoking medication. For a smoker, Wellbutrin might be a logical choice.

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