The Carlat Psychiatry Podcast
Which Medications Should You Stop Before ECT?
Electroconvulsive therapy (ECT) depends on the seizure threshold, so you don’t want to throw that off before starting it. Anticonvulsants and benzodiazepines are concerning, as are antidepressants. Although bupropion has a notorious risk for seizures, a recent meta-analysis of all antidepressants found buproprion’s risk was about average with the newer XL formulations and lower dose range, while the tricyclic clomipramine had the highest risk of seizures. [Link]
Published On: 8/1/2020
Duration: 1 minute, 58 seconds
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