Key features of depression and its
management in general practice.
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"..I'd
like to return to work.."
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Which
of the following statements are true of the management of depression
in the elderly?
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1.
The elderly tolerate tricyclic antidepressants better than SSRIs.
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2.
Adverse effects of SSRIs are more problematic in older patients than
younger patients. |
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3.
SSRIs interact with beta-blockers. |
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4.
Hormone replacement therapy is useful in the management of depression
in the elderly. |
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5.
Electroconvulsive therapy is useful in the management of psychotic
depression in the elderly. |
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2.
Adverse effects of SSRIs are more problematic in older patients than younger
patients.
Author's
answer: True.
Adverse
effects of SSRIs that may be relatively more common or more problematic
in older patients include nausea, diarrhoea, insomnia, headache, agitation,
and anxiety, inappropriate antidiuretic hormone secretion, extrapyramidal
symptoms, and bradycardia.
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