Provided by Psychiatrist.com
Hema Shah, MD; Snehal Kadia, MD; Radhika Bawa, MD; and Steven Lippmann, MD
Submitted: October 9, 2012; accepted May 3, 2013.
Published online: September 5, 2013.
Corresponding author: Steven Lippmann, MD, ACB Clinic, First Floor, 550 South Jackson St, Louisville, KY 40202 (firstname.lastname@example.org).
Objective: Treatment with interferon therapy for hepatitis can induce depression and/or recurrence of affective illness, which could result in cessation of interferon treatment. This article reviews treatment for interferon-induced depression, including antidepressant drugs that may diminish associated symptoms.
Data Sources: English-language literature with no date restrictions on the treatment of interferon-induced depression was reviewed via PubMed and MEDLINE using the key words hepatitis, interferon, hepatitis C, interferon-induced depression, pharmacotherapy of interferon-induced depression, and depression prevention. Fourteen of the most pertinent references are cited.
Data Extraction: Escitalopram is the most prominently noted pharmaceutical prescribed for treating mood symptoms in hepatitis patients with interferon-induced depression. Other antidepressant medicines may have utility as well.
Results: Antidepressant drugs can be efficacious in diminishing mood disorders during hepatitis therapies. It remains controversial as to whether antidepressant medications can provide prophylaxis against newly developing interferon-induced depressions in individuals with no past history of a mood disorder.
Conclusions: Antidepressant medicines can be effective at improving mood in patients undergoing interferon treatment for hepatitis.
Prim Care Companion CNS Disord 2013;15(5):doi:10.4088/PCC.12r01487
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