Despite the fact that many older persons with depressive symptoms go untreated, pharmaceutical therapy with antidepressants has been shown to be connected with an increased risk of falling. According to recent research, using antidepressants has been linked to a higher risk of falling and fractures in older persons, with risks ranging from 1.2 to 6-fold higher.
Among tricyclic antidepressants, nortriptyline has received the greatest research attention. According to the findings of those trials, it should be prescribed as an antidepressant for people over the age of 50. It is beneficial in the acute treatment of depression in the elderly as well as the maintenance therapy of depression in the elderly.
If remission is not obtained over a period of time, other therapies, such as different medications and psychotherapy, may be attempted. Electroconvulsive therapy (ECT) is suggested in the treatment of severe, psychotic, or resistant depression in older patients. Depression is a frequent, but undertreated, ailment among the senior population.
When contemplating this medication for older persons suffering from depression, the panel suggests combining it with a second-generation antidepressant to maximize results. When it comes to treating depression in older persons, IPT is highly recommended.
Antidepressants should be discontinued in older people who are at risk of falling if their clinical state allows it.