TCA (Tricyclic): Difference between revisions

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{{DX tag | Poisoning | | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 | | | | }}

{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, overdose/toxicity}}

{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, adverse effect}}

{{DX tag | Poisoning| Medical Problem | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 | | | | }}

https://en.wikipedia.org/wiki/Tricyclic_antidepressant

== ~~Discussion about~~ code ~~change~~ ==

== Do '''not''' use for serotonin syndrome unless due to poisoning ==

~~{{discussion}}~~

We don't have a code for [https://en.wikipedia.org/wiki/Serotonin_syndrome Serotonin Syndrome].

*Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working ~~but this is rare.~~

*If a patient overdoses on an antidepressant we do not have a specific code for this. While we can use the "other" code, I think it would be of more value to put a general antidepressant overdose code and maybe take out the tricyclic one. (in the poisoning section).

Do not use the TCA (Tricyclic) Poisoningcode for Serotonin Syndrome indiscriminately because it can have other causes and symptoms. If TCA (Tricyclic) Poisoning is a factor in a case of Serotonin Syndrome, of course code it.

~~--[[User:LKolesar|LKolesar]] 13:17, 2016 August 17 (CDT)~~

**46300 ([[Sedatives/Antidepressants]]) used to be the code for sedatives/antidepressants. That's the one I used for antidepressants,however I see on are laptop it is shortened to just sedatives. I'm not sure that the code got changed or that when it was programmed on the laptop the antidepressant part got left out[[User:GHall|GHall]] 09:44, 2016 August 22 (CDT)

== Keeping Tricyclic code for now ==

**Would we use this code for serotonin syndrome? I have had a few patients who were diagnosed with serotonin syndrome due to accident overdose of SSRIs (i.e. use the sedative/antidepressant code for serotonin syndrome)[[User:Mschaffer|Mschaffer]] 13:54, 2016 August 22 (CDT)

* Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working.

*** Changed wording in CCMDB for next version. Thanks for bringing it up and providing a solution, GO TEAM! This discussion can be deleted after 2016-08-29. Ttenbergen 11:55, 2016 August 22 (CDT)

@@ Line 1: / Line 1: @@
-{{DX tag | Poisoning |  | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 |  |  |  | }}
+{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, overdose/toxicity}}
+{{PreICD10 dx | NewDxArticle = Tricyclic antidepressant, adverse effect}}
+{{DX tag | Poisoning| Medical Problem | TCA (Tricyclic) | TCA (TRICYCLIC) | 45000 | No | 0 |  |  |  | }}
 https://en.wikipedia.org/wiki/Tricyclic_antidepressant
-== Discussion about code change ==
+== Do '''not''' use for serotonin syndrome unless due to poisoning ==
-{{discussion}}
+We don't have a code for [https://en.wikipedia.org/wiki/Serotonin_syndrome Serotonin Syndrome].
-*Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working but this is rare.
-*If a patient overdoses on an antidepressant we do not have a specific code for this.  While we can use the "other" code, I think it would be of more value to put a general antidepressant overdose code and maybe take out the tricyclic one.   (in the poisoning section).
+Do not use the TCA (Tricyclic) Poisoningcode for Serotonin Syndrome indiscriminately because it can have other causes and symptoms. If TCA (Tricyclic) Poisoning is a factor in a case of Serotonin Syndrome, of course code it.
---[[User:LKolesar|LKolesar]] 13:17, 2016 August 17 (CDT)
-**46300 ([[Sedatives/Antidepressants]]) used to be the code for sedatives/antidepressants. That's the one I used for antidepressants,however I see on are laptop it is shortened to just sedatives. I'm not sure that the code got changed or that when it was programmed on the laptop the antidepressant part got left out[[User:GHall|GHall]] 09:44, 2016 August 22 (CDT)
+== Keeping Tricyclic code for now ==
-**Would we use this code for serotonin syndrome? I have had a few patients who were diagnosed with serotonin syndrome due to accident overdose of SSRIs (i.e. use the sedative/antidepressant code for serotonin syndrome)[[User:Mschaffer|Mschaffer]] 13:54, 2016 August 22 (CDT)
+* Tricyclic antidepressants have been mostly replaced by newer antidepressants such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs) and norepinephrine reuptake inhibitors (NRIs). They occasionally use tricyclics if other meds are not working.
-*** Changed wording in CCMDB for next version. Thanks for bringing it up and providing a solution, GO TEAM! This discussion can be deleted after 2016-08-29. Ttenbergen 11:55, 2016 August 22 (CDT)