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By Ágnes Szirmai

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Includes 6-24 months of treatment, the main purpose being to maintain and improve the socio-professional rehabilitation. In this phase, the patient returns to a normal life, both professionally and socially. Drug doses can be reduced, taking care not won away in the early symptomatic phase.  The discontinuation phase. In general, most authors agree that 12 to 24 months after drug therapy can be stopped. Stopping will be a gradual decline, particularly slow, which will stretch over two to four months.

A equivalent dose, with antiobsessional effect obtained in 4-5 days. Given that there are currently no studies that compare the effectiveness of SSRIs in treating OCD, the choice of a particular SSRI should take into account the adverse effect profile, potential interactions with other drugs, pharmacokinetic properties and personal experience of each physician. In most cases the use of higher doses than those needed to treat depression were more likely to produce better therapeutic effect. If one starts with a lower dose patients should be reassessed and the dose should be increased if the response is not satisfactory.

Psychopharmacological treatment guide      Antidepressants (SSRIs and venlafaxine), are now considered first-line therapy in the GAD treatment because of their proven efficacy, the possibility of concomitant comorbid depression often, lack of dependence, potential and favorable profile of adverse effects. buspirone is currently indicated for patients with a history of substance abuse that have not responded or have not tolerated treatment with antidepressants. The use of benzodiazepines should be limited to short-term administration due to the potential development of dependency.

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