Depression
Uganda2023
Diagnosis and treatment protocols for Depression in Uganda
Uganda Clinical Guidelines 2023 · all from source →
Pediatric
Treatment
1.
Children <12 years
DO NOT use antidepressants.
2.
Adolescents
Only under specialist supervision. Psychological therapy is first line.
General Adult
Treatment
1.
Mild Cases
First line: Psychological therapy (Psychoeducation, social support, physical activities). Follow up for 4-6 weeks.
2.
Moderate/Severe (Pharmacological)
Fluoxetine 20 mg once daily (start 10 mg in elderly). If no improvement after 4-6 weeks, increase to 40 mg. Alternatively, Amitriptyline 50 mg at bedtime, increase to 100-150 mg.
3.
Maintenance
Continue medication for at least 9-12 months. Reduce slowly over 4 weeks when stopping.
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