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Male Female
< 5 years
5-10 years
11-20 years
>20 years
Multi-specialty hospital
Clinic/ nursing home
Government hospital/ medical college
Mixed
Tier 1 city
Tier 2 city
Tier 3 city
Rural area
<10
11-20
21-30
31-40
If any other
Males
Females
< 15 years
15-30 years
30-50 years
50 years and above
Family history of depression
Conflict at home or a stressful environment
Bullying at school or online
History of anxiety or other mental health issues
Substance abuse, including alcohol
Montgomery-Åsberg Depression Rating Scale (MADRS)
Hamilton Rating Scale for Depression (HAM-D)
Beck Depression Inventory (BDI)
Clinical experience
APA guidelines
NICE guidelines
IPS guidelines
CANMAT guidelines
SSRI
SNRI
TCA
NDRI
RIMA
Atypical antidepressant
Sertraline
Fluoxetine
Fluvoxamine
Paroxetine
Escitalopram
Yes
No
<20%
21 – 40%
41 – 60%
61 – 80%
25 mg /day
50 mg /day
100 mg /day
150 mg /day
2 - 4 weeks
1-3 months
3- 6 months
Very effective
Moderately effective
Slightly effective
Not effective
<2 weeks
> 6 months
Efficacy in depression symptoms
Favorable safety profile
Once a day dosing
Patient acceptance
2 Weeks
1 month
2-3 months
6 months
0-25%
26-50%
51-75%
76-100%
Most tolerable and most effective antidepressant
Equally tolerable and effective antidepressant
Less tolerable but equally effective antidepressant
Less tolerable and less effective antidepressant