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module menu icon NMS and antidepressants

NMS and antidepressants

At the time of writing, plans were being finalised to add antidepressants to the New Medicines Service (NMS) in England.

This service provides support for people with long-term conditions newly prescribed a medicine to help improve medicines adherence. With up to 50 per cent of prescribed medications not being taken as recommended or prescribed, the NMS enables patients to find out more about how their medication works and learn about any potential side-effects. It also gives them the opportunity to ask questions and involves the patient in decision-making to manage their own condition and improve their health.

Although the NMS must be provided by a pharmacist, pharmacy technicians can provide valuable support for the service – for example, by booking appointments and talking to patients who may be concerned about their medication or have questions about it. Talking to a professional can remove the emotions a patient may have if they were talking to a friend, colleague or family member. For example, they may be worried about stress at work, not coping with family dynamics or have concerns about being viewed as a failure by their loved ones.

There can be a stigma around mental health conditions. However, focusing on the medication allows any conversations you have with patients to have a purpose and demonstrates that the pharmacy team is there to provide support.

Key points

  • Antidepressants do not work immediately – they can take two to four weeks to have an effect
  • Most side-effects are often temporary and experienced in the early stages of treatment
  • When starting a new antidepressant, there is a risk in the short-term that suicidal ideation may be increased
  • Every antidepressant medication has a different minimum effective dose
  • The starting dose of an antidepressant is not necessarily the same as its minimum effective dose
  • Antidepressants are not addictive, but they can have withdrawal effects if stopped suddenly
  • Non-medication interventions alongside antidepressant treatment can support patient wellbeing and recovery.