The use of antidepressants in neurological practice

Antidepressants are widely used in neurological practice, and their use stroke, Alzheimer's disease, depression with cognitive impairment, Parkinson's multiple sclerosis, chronic back pain migraine is discussed. the presence of severe depressive symptoms, which observed 20–30% patients. The effect antidepressants higher case combination recurrent depression. Presence episodes before development a history effectiveness antidepressants, hereditary burden affective disorders, characteristic daily dynamics symptoms typical impaired sleep architecture indicate likelihood combined disorder. Final establishment psychiatric diagnosis possible consultation patient by psychiatrist, but clinical practice this realistic only small number most commonly selective serotonin reuptake inhibitors, norepinephrine tricyclic low or medium doses, duration administration usually at least 3-6 months. In diseases, some drugs has been noted, many have not studied does exclude effectiveness. When prescribing it necessary to take into account drug interactions avoid those combinations that may cause adverse reactions. It advisable complex therapy an educational program, behavioral kinesiotherapy. Many questions regarding efficacy safety treatment, choice optimal antidepressant, its dosage require further study.