Treatment guidelines for geriatric mood disorders.

Abstract:

:The authors reviewed the literature on the pharmacotherapy of geriatric mood disorders. Based on the evidence available, we have proposed: (i) that although any antidepressant is assumedly equal in antidepressive efficacy, ones with weak anticholinergic and antialpha1 effects are preferable in geriatric patients; (ii) that augmentation therapy with lithium and methylphenidate has modest evidence of efficacy in this population; (iii) that modified electroconvulsive therapy is safe and effective for severe and psychotic depression in the elderly; and (iv) that lithium remains the first choice for geriatric bipolar disorder, although its optimal serum level may be lower than in younger adults.

authors

Oshima A,Higuchi T

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

S55-9

eissn

1323-1316

issn

1440-1819

journal_volume

53 Suppl

pub_type

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