What is the role of medication following electroconvulsive therapy (ECT)?

Updated: Sep 24, 2019
  • Author: Mehul V Mankad, MD; Chief Editor: Dennis M Popeo, MD  more...
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Pharmacological therapy after ECT varies with a patient's diagnosis. [1]  Patients with major depressive disorder and whose symptoms are resistant to pharmacological therapy to induce remission of symptoms still may benefit from the same class of medication during the maintenance phase after ECT. [92]  Alternately, clinicians and patients may choose a medication from a different drug class during the maintenance phase due to lack of efficacy during prior medication trials with pharmacologic agents known to the patient. As with any antidepressant medication trial, adequate duration and dosage should be considered in design of the maintenance medication plan.

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