SSRIs (selective serotonin reuptake inhibitors) and the newer antidepressants buproprion, mirtazapine, moclobemide, and venlafaxine (a selective norepinephrine reuptake inhibitor or SNRI) are all considered to be generally safe in those over the age of 65.
Buspirone is an anti-anxiety medication that has been demonstrated to be beneficial in the treatment of elderly patients. However, because they have the potential to induce memory impairment, unsteadiness, and falls in older persons, benzodiazepines, another anti-anxiety medication, should only be taken with caution.
Antidepressants can be beneficial in older individuals, but they may not always be as successful as they are in younger patients, according to recent research findings. In addition, the possibility of adverse effects or potential interactions with other medications must be carefully evaluated before proceeding.
Individuals suffering with dementia who experience changes in their mood and behavior are frequently offered antidepressants such as sertraline, citalopram, mirtazapine, and trazodone to help them cope. There is some evidence that they – specifically citalopram – may be effective in reducing agitation in certain people.
A selective serotonin reuptake inhibitor (SSRI), sertraline has been shown to have antidepressant and anxiolytic properties. The findings of multiple well-designed trials demonstrate that sertraline (50-200 mg/day) is helpful in the treatment of major depressive disorder in senior individuals (those over or under the age of 60 years).
As defined by the updated Beers Criteria published by the American Geriatrics Society in 2015, paroxetine is a powerful anticholinergic that is regarded possibly unsuitable for older individuals with dementia and cognitive impairment.
A healthy, well-balanced diet without missing meals, together with adequate sleep, will assist you in better managing stress* and feeling more relaxed. According to a research published in the journal Mental Health Practice, listening to music or singing along with others might help decrease anxiety in older persons by giving enjoyment and a sense of social inclusion*.
Celexa was shown to be just as effective and safe in adults 65 and older as it was in younger people in tests. Elderly adults who use Celexa, on the other hand, may be more susceptible to a side effect known as hyponatremia, which occurs when there is insufficient salt in the fluid surrounding the cells in the body.
20th of January, 2001 — In accordance with the findings of a recent Canadian study, popular antidepressants such as Prozac, Zoloft, and Paxil may not be the greatest choices for treating depression in the extremely old population.
To present, appropriate investigations have not revealed any geriatric-specific difficulties that would restrict the effectiveness of amitriptyline in the aged population. Those who are elderly, however, are more likely to have age-related liver issues, which may necessitate a reduction in the amount of amitriptyline prescribed to them in some cases.
Furthermore, as the cumulative dosage of tricyclic antidepressants was raised, the risk of dementia decreased, but the risk of dementia rose with the cumulative dose of SSRIs, MAOIs, heterocyclic antidepressants, and other antidepressants.
Antidepressant usage in dementia is controversial, and current research shows that antidepressants are ineffective in patients with dementia, despite the fact that the data is inconclusive (unless they have a pre-existing mental health problem). This might be a result of the changes that occur in the brain as a result of dementia.
Alzheimer’s patients suffering from depression were found to have significantly improved quality of life when treated with the drug Zoloft, which is commonly prescribed to treat depression, obsessive-compulsive disorder, and panic disorder. They also experienced a significant reduction in behavioral disturbances such as agitation, aggression, and anxiety.
Those involved in the study believe that antidepressants such as Lexapro, manufactured by Forest Laboratories Inc and known generically as escitalopram, may be useful as a new treatment option for older adults suffering from generalized anxiety disorder, a disabling condition that can also cause muscle tension, insomnia, and fatigue.
The use of sertraline in older people is usually considered to be safe, well tolerated, and convenient. Sertraline is now being investigated for use in the treatment of geriatric depression and other mental diseases, according to ongoing research.
In addition, research shows that psychotherapy is equally as likely as antidepressants to be an effective first-line treatment for depression in older persons. While some older persons may like to get counseling or psychotherapy for depression rather than taking more prescriptions on top of the meds they are currently taking for other diseases, others would rather not.