In an article, Dr. Perlis discusses the risks and benefits of making antidepressants available without a prescription. Over the last decades, we have seen many medications, including medications for acid reflux and oral contraceptives become available over the counter. When access to psychiatric care is so limited, what would it mean to offer antidepressants as an over-the-counter medication? We are obviously concerned about adverse events associated with the unsupervised use of antidepressants, but at the same time we must consider the adverse consequences of untreated depression in millions of Americans.
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Roy Perlis, MD, MSc is the Director of the Center for Quantitative Health at MGH and Associate Chief for Research in the Department of Psychiatry. He is the Ronald I. Dozoretz, MD Endowed Professor of Psychiatry at Harvard Medical School and Associate Editor (Neuroscience) at JAMA's new open-access journal, JAMA Network - Open.
