May 8, 2003
Other Medications
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Question from Edwardsville, Illinois, USA:
What are the best selections of anti-depressants for a teenager with type 1 diabetes? I have heard that some of them may cause high sugar levels.
Answer:
From: DTeam Staff
From a practical position and as a diabetologist, I prefer to use the serotonin reuptake inhibitors [also called SSRIs] because they are the easiest to use. They have fewer side effects than tricyclics. However, once patients are titrated above moderate levels of these drugs, I prefer these patients are seen by a psychiatrist. Some have to use high doses and other combinations of medications. Because of the complexity of the problem, these patients need close follow-up. I understand my answer is vague, but depression has a very broad spectrum of severity.
JTL
