GP Voice

voice of general practice

GP Drug & Alcohol Advice & Support Service

We all have patients troubled by alcohol or drugs. We are either approached by the patient or more often than not, family members who are lost in the maze of services out there. Despite being a GP in the area for more than 25 years, I still don’t know what is out there, who needs what, let alone who or where to get help for these patients.…

Treatment resistance depression – a solution finally?

Jan 2018, Dr Chee L Khoo

The mainstay for the treatment of major depression disorder (MDD) has been SSRIs since the 1980s. But up to a third of patients with MDD don’t respond to the usual treatment for depression. This is commonly referred to as treatment resistant depression (TRD). The NDMA glutamate receptor antagonist, ketamine is known to have an efficacious and rapid-onset anti-depressant effect in patients with TRD.…

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