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Study highlights the shortage of evidence for safe withdrawal from antidepressants

Study highlights the shortage of evidence for safe withdrawal from antidepressants A new study has highlighted that while much is known about the ever increasing uptake of antidepressant medications around the world, there is very little evidence on safe and effective approaches to discontinuing treatment. In 2020 there were 78 million prescriptions for antidepressants in England and about half of patients treated have taken them for at least two years. Guidelines typically recommend that antidepressants be taken for up to 6 to 12 months after improvement, or for up to two years in people at risk of relapse, but many people take antidepressants for much longer. Surveys of antidepressant users suggest that up to a half of people on long-term antidepressant prescriptions have no clear medical reason to keep taking them. Long-term use can put people at risk of adverse events such as sleep disturbance, weight gain, sexual dysfunction, bleeding, and gastrointestinal problems, as well as

Study highlights urgent shortage of evidence for safe withdrawal from antidepressants

Study highlights urgent shortage of evidence for safe withdrawal from antidepressants ANI | Updated: Apr 23, 2021 11:42 IST Southampton [UK], April 23 (ANI): The findings of a new study suggest that while much is known about the ever-increasing uptake of antidepressant medications around the world, there is very little evidence on safe and effective approaches to discontinuing treatment. The findings of the study were published in the journal Cochrane Database of Systematic Reviews . In 2020, there were 78 million prescriptions for antidepressants in England, and about half of the patients treated have taken them for at least two years. Guidelines typically recommend that antidepressants be taken for up to 6 to 12 months after improvement, or for up to two years in people at risk of relapse, but many people take antidepressants for much longer.

Urgent need to find safe ways for patients to withdraw from antidepressants, survey finds

Lead author of the review, GP and emeritus professor of general practice at the University of Queensland, Mieke van Driel, said the researchers compared different approaches and looked at benefits, such as successful stopping rates, and harms reported during and after stopping. Withdrawal symptoms and harms reported during stopping included insomnia, low mood, anxiety and changes to appetite, but these can also be symptoms of a return of depression. “In a nutshell there was only very low certainty evidence on the pros and cons of each of the different approaches to stopping, making it difficult to reach any firm conclusions at this time,” van Driel said. “The key issue is that studies do not distinguish between symptoms of a return or relapse of depression and symptoms of withdrawal after stopping, and that’s really problematic.”

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