  
              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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