| Note |
Today, she managed a smile. (Not long ago, she couldn't stop sobbing). Before he sees that first positive response - however hesitant and tentative - the physician may have to bring into play many different aspects of therapy. Establishing a therapeutic relationship may be the first difficulty as well as the first necessity. Psychotherapy, family and community support, occupational and social counseling, and drug therapy may all have to be enlisted. The characteristically rapid energizing action of VIVACTIL may help establish early therapeutic rapport by lessening the patient's lethargy - often during the first week of medication. VIVACTIL helps elevate mood, usually within the third of fourth week of treatment. Characteristically, the drug has no sedating or tranquilizing properties. (Symptoms such as anxiety or agitation may be aggravated.) Dosage of VIVACTIL must be individualized and patients should be under close medical supervision. For many adult patients with clinically significant depression, 10mg t.i.d. may provide control of symptoms. Others may require as little as 15 mg or as much as 60 mg a day. In elderly patients and adolescents, lower dosages are recommended. In depression, Vivactil helps establish early therapeutic rapport. |
