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Factors Associated with Antidepressant Dosing in Asia: Findings from the Research on Asian Psychotropic Prescription Study
Rajaratnam K.1; Xiang Y.-T.22; Tripathi A.13; Chiu H.F.K.12; Si T.-M.16; Chee K.-Y.5; Avasthi A.18; Grover S.18; Chong M.-Y.11; Kuga H.15; Kanba S.15; He Y.-L.17; Lee M.-S.9; Yang S.-Y.8; Udomratn P.21; Kallivayalil R.A.3; Tanra A.J.20; Maramis M.10; Shen W.W.-D.14; Sartorius N.4; Kua E.-H.2; Tan C.-H.2; Mahendran R.2; Shinfuku N.19; Sum M.Y.1; Baldessarini R.J.6; Sim K.1
2016-12-01
Source PublicationJournal of Clinical Psychopharmacology
ISSN1533712X 02710749
Volume36Issue:6Pages:716-719
Abstract

In this study, we sought to examine factors associated with dosing of antidepressants (ADs) in Asia. Based on reported data and clinical experience, we hypothesized that doses of ADs would be associated with demographic and clinical factors and would increase over time. This cross-sectional, pharmacoepidemiological study analyzed data collected within the Research Study on Asian Psychotropic Prescription Pattern for Antidepressants from 4164 participants in 10 Asian countries, using univariate and multivariate methods. The AD doses varied by twofold among countries (highest in PR China and RO Korea, lowest in Singapore and Indonesia), and averaged 124 (120-129) mg/d imipramine-equivalents. Average daily doses increased by 12% between 2004 and 2013. Doses were significantly higher among hospitalized patients and ranked by diagnosis: major depression > anxiety disorders > bipolar disorder, but were not associated with private/public or psychiatric/general-medical settings, nor with age, sex, or cotreatment with a mood stabilizer. In multivariate modeling, AD-dose remained significantly associated with major depressive disorder and being hospitalized. Doses of ADs have increased somewhat in Asia and were higher when used for major depression or anxiety disorders than for bipolar depression and for hospitalized psychiatric patients.

KeywordAntidepressant Bipolar Depression Doses Mood Stabilizer
DOI10.1097/JCP.0000000000000591
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPharmacology & Pharmacy ; Psychiatry
WOS SubjectPharmacology & Pharmacy ; Psychiatry
WOS IDWOS:000387868500026
Scopus ID2-s2.0-84991436075
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Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Singapore Institute of Mental Health
2.National University of Singapore
3.Pushpagiri Medical College
4.Association for the Improvement of Mental Health Programmes
5.Kuala Lumpur Hospital
6.McLean Hospital
7.Harvard Medical School
8.Taipei City Hospital Taiwan
9.Korea University
10.Universitas Airlangga
11.Chang Gung University
12.Chinese University of Hong Kong
13.Chhatrapati Shahuji Maharaj Medical University
14.Taipei Medical University
15.Kyushu University
16.Ministry of Health of People's Republic of China
17.Shanghai Mental Health Center
18.Postgraduate Institute of Medical Education and Research
19.Kobe University School of Medicine
20.Hasanuddin University
21.Prince of Songkla University
22.Universidade de Macau
Recommended Citation
GB/T 7714
Rajaratnam K.,Xiang Y.-T.,Tripathi A.,et al. Factors Associated with Antidepressant Dosing in Asia: Findings from the Research on Asian Psychotropic Prescription Study[J]. Journal of Clinical Psychopharmacology, 2016, 36(6), 716-719.
APA Rajaratnam K.., Xiang Y.-T.., Tripathi A.., Chiu H.F.K.., Si T.-M.., Chee K.-Y.., Avasthi A.., Grover S.., Chong M.-Y.., Kuga H.., Kanba S.., He Y.-L.., Lee M.-S.., Yang S.-Y.., Udomratn P.., Kallivayalil R.A.., Tanra A.J.., Maramis M.., Shen W.W.-D.., ...& Sim K. (2016). Factors Associated with Antidepressant Dosing in Asia: Findings from the Research on Asian Psychotropic Prescription Study. Journal of Clinical Psychopharmacology, 36(6), 716-719.
MLA Rajaratnam K.,et al."Factors Associated with Antidepressant Dosing in Asia: Findings from the Research on Asian Psychotropic Prescription Study".Journal of Clinical Psychopharmacology 36.6(2016):716-719.
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