Mount Carmel Health Partners Clinical Guidelines Major Depression | Page 5

Table 5: General medical conditions causing or contributing to major depression (“Secondary Depression”) Drugs and poisons: alcohol, beta blockers, steroids, opiates, barbiturates, withdrawal from cocaine or amphetamines, heavy metal poisoning, cholinesterase inhibitors, cimetidine, chemotherapy agents Metabolic/Endocrine Conditions: hyperthyroidism, hypothyroidism, severe anemia, hyperparathyroidism, hypokalemia, hyponatremia, Cushing disease, Addison disease, uremia, hypopituitarism, porphyria, Wilson Disease, Wernicke-Korsakoff syndrome Infectious diseases: tuberculosis, Epstein-Barr infection, HIV, pneumonia, postinfluenza, tertiary syphilis, encephalitis Neurodegenerative and demyelinating diseases: Alzheimer disease, multiple sclerosis, Parkinson disease, Huntington disease Other neurologic: subdural hematoma, normal pressure hydrocephalus, strokes, post- traumatic brain injury syndromes, cerebral tumors Neoplasia: carcinomatosis, cancers of the pancreas, lung, breast, and others Others: systemic lupus erythematosus, other collagen vascular disorders, other chronic inflammatory or auto-immune disorders, heart failure Table 6: Commonly Prescribed Anti-Depressants Major Depression - 5