Which antidepressant should be avoided in the elderly?
Tricyclic antidepressants, especially amitriptyline and dothiepin,16 are known to pose a high risk of death in overdosage.
These drugs should therefore be avoided in older people whose medication is not supervised and who are at risk of taking an overdose..
How do you treat severe anxiety in the elderly?
According to a review in the March 2007 Psychology and Aging, researchers who evaluated 17 studies of evidence-based treatment found that relaxation training, CBT, supportive therapy and cognitive therapy were all effective in treating anxiety in elderly patients.
Which benzodiazepine is best for elderly?
Short-half-life benzodiazepines, such as oxazepam, alprazolam, and triazolam, are usually recommended for older adults, because these agents do not accumulate in the blood, are rapidly cleared from circulation, and offer greater dosage flexibility.
How do you stop anxiety in the elderly?
Top 5 Ways to Relieve Anxiety in SeniorsSocial Support. Seniors commonly experience feelings of loneliness and isolation due to the fact that they are often at least somewhat limited in their mobility and may have a diminished social circle. … Calming Exercises. … Reassuring Routines. … Ease Nighttime Stress. … Consider Professional Help.
What causes elderly anxiety?
Anxiety in older adults may be linked to several important risk factors. These include, among others: Chronic medical conditions (especially chronic obstructive pulmonary disease [COPD], cardiovascular disease including arrhythmias and angina, thyroid disease, and diabetes) Overall feelings of poor health.
Which antidepressant medication has the least side effects in the elderly?
SSRIs such as citalopram and escitalopram (along with non-SSRIs mirtazapine and venlafaxine) have minimal effect on the cytochrome P450 system and so have a reduced risk of pharmacokinetic interactions.