Depression Medication Management in OhanaDoc

Expert pharmacological treatment with comprehensive monitoring and pharmacologically-trained physicians specializing in depression medication management.

Our Services

SSRI Management

Comprehensive SSRI therapy with monitoring for side effects and efficacy. Includes escitalopram, sertraline, fluoxetine, and paroxetine with therapeutic drug level assessment.

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SNRI Therapy

Dual-action SNRI medications for depression with norepinephrine effects. Venlafaxine and duloxetine with comprehensive monitoring and dose optimization.

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Antidepressant Monitoring

Regular monitoring of antidepressant response, side effects, medication adherence, and CYP450 enzyme activity affecting drug metabolism.

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Depression Treatment Plans

Individualized treatment plans combining medication optimization with lifestyle modifications and therapeutic drug level monitoring.

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Frequently Asked Questions

How do pharmacologically-trained physicians differ from regular doctors?
Pharmacologically-trained physicians have advanced training in how medications work at the molecular level, drug interactions, metabolism, and optimal dosing. They understand the complex biochemistry behind antidepressants and can make more precise treatment decisions.
What antidepressants do you prescribe for depression?
We prescribe SSRIs (escitalopram, sertraline, fluoxetine), SNRIs (venlafaxine, duloxetine), atypical antidepressants (bupropion, mirtazapine), and other classes based on individual patient needs and pharmacological profiles.
How often do you monitor patients on antidepressants?
Initial monitoring is weekly for the first 4 weeks, then bi-weekly for 8 weeks, then monthly. We monitor symptom improvement, side effects, medication adherence, and adjust dosing based on therapeutic drug levels when appropriate.
Do you test antidepressant levels in the blood?
Yes, for certain medications like tricyclic antidepressants and some SSRIs, we can measure blood levels to ensure therapeutic dosing and check for drug interactions affecting metabolism.
What if an antidepressant doesn't work for me?
We have a systematic approach: optimize current medication dosing, switch to a different class, add augmentation strategies, or combine medications. Each step is based on pharmacological principles and clinical evidence.