Fluoxetine

Critical decision points (CDP) and PHQ-9 based care (for ages 18-65)

Fluoxetine

Week 1

CDP # 1

10 mg po q AM

Week 2 

CDP #2

Increase to 20 mg daily 

Week 4

CDP #3

Is patient in remission? If tolerating, continue dose from 2-weeks prior 2-weeks prior 

Is patient having some improvement?If tolerating, increase to 20 mg daily 

Is patient having no improvement? If tolerating, consider increase to 30 mg daily 

Week 6

CDP #4

Is patient in remission? If tolerating continue dose from 2-weeks prior

Is there a partial response? If tolerating, continue same dose or consider increase by 10 mg daily