Thursday, October 27, 2016

Best antidepressant for elderly depression

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What is the best depression medication for the elderly? Are antidepressants safe in elderly patients? What are the best prescribed antidepressants? Which anti depressant does not cause weight gain? Best Antidepressants For the Elderly 1. TMS ( Transcranial Magnetic Stimulation ) If you want to try the treatment with.


CBT ( Cognitive Behavioral Therapy ) This is a form of therapy for depression. If I knew I didn’t have many years.

Depression can affect both the young and old. Younger age group studies of depression show stress and social pressures from peers and parents alike can cause depression. However, rates of depression increase with age.


The selective serotonin reuptake inhibitors ( SSRIs ) and the newer antidepressants buproprion , mirtazapine , moclobemide , and venlafaxine (a selective norepinephrine reuptake inhibitor or SNRI ) are all relatively safe in the elderly. Monoamine oxidase inhibitors , ( MAOIs ) are amongst the first generation of antidepressants. These were used initially for treatment of anxiety and depression as well.


There are many different types, such as escitalopram , sertraline , and citalopram , which is the most common. These are used frequently with older patients because they interact less with patients that have cardiovascular problems. SSRIs In general, SSRIs tend to be the most commonly prescribed antidepressants. NICE recommends that SSRIs should normally be used as first-line treatment for depression in all age groups.


Given the high rates of polypharmacy in the elderly , drug interactions are an important consideration. Reynolds says many older patients are taken off antidepressant drugs within six months or a year of initial treatment. More commonly prescribed antidepressants in this category include trazodone , mirtazapine ( Remeron ), vortioxetine ( Trintellix ), vilazodone ( Viibryd ) and bupropion ( Wellbutrin SR , Wellbutrin XL , others). Treatment of depression in patients with dementia can be challenging. Recent evidence suggests that there is lower efficacy for antidepressants in patients with dementia.


Cholinesterase inhibitors should be considered in the treatment of depressive symptoms such as apathy and decreased initiative,. In other words, the best choice of antidepressants for young people may be not suitable for seniors.

Antidepressant selection should be adjusted for age to address the risk of age-related side effects. Several types of antidepressants, such as duloxentine, are known to increase the risk of suicide and should not be used for pediatric patients. Yet, there are a number of risks that come with antidepressant usage.


Best antidepressant for depression : Remeron, Lexapro, Effexor, Zoloft. Abilify, an aripiprazole, is more of an antipsychotic medication than antidepressant. But it has been proven to have antidepressant properties and is used to treat depression as well. It is designed to readjust the actions of chemicals found in the brain. TCAs) are equally effective in the elderly , SSRIs tend to be better tolerated and associated with fewer adverse effects.


Choice of antidepressant. Several antidepressants are efficacious in elderly patients with a major depressive episode without psychotic features. Selection should be based on the best side effect profile and lowest risk of drug-drug interactions.


The newer SSRIs are effective and generally well tolerated by elderly patients.

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