February 1987

Antidepressant Treatment of Medical-Surgical Inpatients by Nonpsychiatric Physicians

Author Affiliations

From the Departments of Psychiatry (Mr Callies and Dr Popkin) and Medicine (Dr Popkin), University of Minnesota Medical School, Minneapolis.

Arch Gen Psychiatry. 1987;44(2):157-160. doi:10.1001/archpsyc.1987.01800140067009

• The prescribing of antidepressants by nonpsychiatric physicians on adult medical-surgical inpatient services of a university hospital was examined through the review of medical records of patients who received amitriptyline hydrochloride, doxepin hydrochloride, or imipramine hydrochloride during a one-year period. Reasons for antidepressant use were treatment of depression (56%), pain (30%), or other conditions (14%). Regardless of the reason for use, nonpsychiatric physicians were found to use relatively low dosages, rarely plan or effect dosage increases, and rarely discontinue medication.