Note: Federally-funded Phase II ESAs may require development, EPA approval, and use of Quality Assurance Project Plans (QAPPs), although in most instances, generic QAPPs already in place between the Missouri Department of Natural Resources (DNR) and the United States Environmental Protection Agency (EPA) should suffice.
Doctors often start by prescribing an SSRI. These medications are safer and generally cause fewer bothersome side effects than other types of antidepressants. SSRIs include fluoxetine (Prozac, Selfemra), paroxetine (Paxil, Pexeva), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro).
Doxazosin, a low-risk agent, was the most common inappropriate antihypertensive prescribed, at 3.96%, while guanethidine, a high-risk drug, was the least prescribed, at 0.05%. For muscle relaxants, cyclobenzaprine (Flexeril and others) topped the list, at 1.95%, while metaxalone (Skelaxin) was lowest, at 0.05%.