Psychiatry - December 2008 - (Page 14)

Trend Watch care physicians and 20 percent by psychiatrists. Obstetrician/ gynecologists more frequently use selective serotonin reuptake inhibitors (69% compared to 58% in primary care and 48% in psychiatry) and are more likely to choose an selective serotonin reuptake inhibitors agent indicated for the treatment of premenstrual dysphoric disorder (e.g., fluoxetine, paroxetine, sertraline): 66 percent versus 59 percent for both primary care physicians and psychiatrists. Use of desvenlafaxine was slightly elevated in obstetrician/ gynecologists as compared to primary care physicians (0.3% vs. 0.1% of total antidepressants, respectively); however, psychiatrists prescribed more desvenlafaxine than either group: 0.4 percent of total antidepressant prescriptions. Discussion of this data is provided. KEY WORDS premenstrual dysphoric disorder, PMDD, SSRI, SNRI, antidepressant, psychiatry, OB/GYN, PCP Antidepressant Prescribing by Specialty and Treatment of Premenstrual Dysphoric Disorder by Elisa Cascade; Amir H. Kalali, MD; and Uriel Halbreich, MD Psychiatry (Edgemont) 2008;5(12):14–15 INTRODUCTION Because of limitations in diagnosis coding, it is difficult to determine which products are currently used to treat premenstrual dysphoric disorder (PMDD). To date, the selective serotonin reuptake inhibitor (SSRI) antidepressants (e.g., fluoxetine, paroxetine, sertraline) are the only products indicated for PMDD treatment. However, the serotonin-norepinephrine reuptake inhibitor (SNRI) desvenlafaxine is currently being studied in the treatment of hot flashes. To better understand treatment of PMDD, we examined the antidepressant prescribing behavior of obstetrician/ gynecologists (OB/GYNs) as a marker for PMDD treatment and compare these use patterns to psychiatrists and primary care physicians (PCPs). 14 ABSTRACT Because of limitations in diagnosis coding, it is difficult to determine which products are used to treat premenstrual dysphoric disorder. To better understand treatment of premenstrual dysphoric disorder, we examined the antidepressant prescribing behavior of 14 Psychiatry 2008 [ V O L U M E 5, NUMBER obstetrician/gynecologists as a marker for premenstrual dysphoric disorder treatment and compare these use patterns to psychiatrists and primary care physicians. Over the past quarter, only three percent of antidepressants were prescribed by obstetrician/ gynecologists as compared to 51 percent by primary 12, DECEMBER]

Table of Contents Feed for the Digital Edition of Psychiatry - December 2008

Psychiatry - December 2008 Editor’s Message Contents Editorial Advisory Board Antidepressant Prescribing by Specialty and Treatment of Premenstrual Dysmorphic Disorder Pain, Pain, Go Away: Antidepressants and Pain Management Why Psychotherapy Helps the Patient in Chronic Pain General Medical Drugs Associated with Depression Katatonia: A New Conceptual Understanding of Catatonia and a New Rating Scale Thermoregulation and the Role of Calcium Signalling in Neurotransmission Cognition and Schizophrenia: Is There a Role for Cognitive Assessments in Diagnosis and Treatment? Journal Watch Information for Authors

Psychiatry - December 2008

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