Major depressive disorder

Major depressive disorder · ICD-10: F32.9

Symptoms

  • • Depressed or irritable mood
  • • Loss of interest or pleasure
  • • Fatigue and lack of energy
  • • Feeling hopeless, worthless or guilty
  • • Sudden change in appetite and weight
  • • Trouble sleeping or sleeping too much
  • • Trouble concentrating
  • • Becoming withdrawn
  • • Thoughts of death or suicide

MedlinePlus · Symptoms

Drugs and regimens

Agomelatine⚠ Unverified

Adult major depression — 25 mg at bedtime; 50 mg if no improvement after 2 weeks

Amitriptyline⚠ Unverified

Depression — adult outpatients: 75 mg/day divided

Amitriptyline⚠ Unverified

Depression — adolescents and elderly: 10 mg three times daily + 20 mg at bedtime

Amitriptyline⚠ Unverified

Under 12 years

Brexpiprazole⚠ Unverified

MDD (adjunct) — start 0.5 or 1 mg, target 2 mg (max 3)

Bupropion⚠ Unverified

MDD — adults: 150 mg morning, 300 after 4 days

Cariprazine⚠ Unverified

MDD (adjunct to antidepressant) — 1.5 mg, up to 3 mg on day 15

Citalopram⚠ Unverified

MDD — adults: 20 mg daily (max 40)

Citalopram⚠ Unverified

Children

Desvenlafaxine⚠ Unverified

Major depressive disorder — 50 mg once daily

Doxepin⚠ Unverified

Depression/anxiety — 25 mg three times or 75 mg once daily

Duloxetine⚠ Unverified

Major depression — 40–60 mg/day

Escitalopram⚠ Unverified

MDD — ≥12 years: 10 mg daily (max 20)

Esketamine (nasal)⚠ Unverified

Treatment-resistant depression — 56 or 84 mg twice weekly (induction), then less often

Fluoxetine⚠ Unverified

MDD — children/adolescents (≥8 y): start 10 or 20 mg

Fluoxetine⚠ Unverified

MDD — adults: 20 mg in the morning

Imipramine⚠ Unverified

Depression — adult outpatients: 75 mg/day (up to 150)

Levomilnacipran⚠ Unverified

Major depressive disorder, adults — 40–120 mg once daily

Mirtazapine⚠ Unverified

MDD — adults: 15 mg at night (max 45)

Nefazodone⚠ Unverified

Major depressive disorder, adults — start 100 mg twice daily; effective range 300–600 mg/day

Nortriptyline⚠ Unverified

Depression — adults: 25 mg three or four times daily

Nortriptyline⚠ Unverified

Adolescents and elderly: 30–50 mg/day

Paroxetine⚠ Unverified

Major depression — 20 mg daily (max 50)

Phenelzine⚠ Unverified

Depression (atypical, non-endogenous or neurotic), adults — start 15 mg three times daily

Quetiapine⚠ Unverified

Bipolar depression — adults: 50 mg at bedtime, target 300

Sertraline⚠ Unverified

MDD — adults: start 50 mg

Tranylcypromine⚠ Unverified

Major depressive disorder without adequate response to other antidepressants, adults — 30 mg/day in divided doses

Trazodone⚠ Unverified

MDD — adults: 150 mg/day divided

Venlafaxine⚠ Unverified

MDD — adults: 75 mg daily

Vilazodone⚠ Unverified

Major depressive disorder, adults — target 20–40 mg once daily with food

Vortioxetine⚠ Unverified

Major depression — start 10 mg once daily, then 20 mg

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