Block M, "National Institute of Mental Health: "Older Adults: Depression and Suicide Facts.

Common side effects include weight loss, agitation and insomnia (with fluoxetine [Prozac]), fatigue, dry mouth and constipation (with paroxetine [Paxil]), nausea and diarrhea, headache, and anxiety.Transitory gastrointestinal side effects may be reduced by slow dosage titration and taking the medication with food. The psychotherapist and patient should set aside committed and uninterrupted time, focus on increasing the patient’s self-esteem, accept feelings at face value, hold out the prospect of hope, and accept anger and irritability. The withdrawal syndrome usually resolves within three weeks.Anticholinergic effects, sedation, cardiac effects, orthostatic hypotension, weight gain, lower seizure thresholdExtrapyramidal movement disorders, male sexual dysfunction, endocrine dysfunctionMAOIs,§ meperidine (Demerol),§ vasoconstrictors,§ narcotics,§ decongestants§MAOIs,§ meperidine,§ vasoconstrictors,§ narcotics,§ decongestants§GI symptoms, sexual dysfunction, weight gain, headacheMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§GI symptoms, anxiety, somnolence, sexual dysfunctionMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§GI symptoms, anxiety, somnolence, sexual dysfunctionMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§Anxiety, sexual dysfunction, increased blood pressure, mild sedation, visual symptomsMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsSedation, increased appetite, constipation, astheniaMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsAnticholinergic effects, sedation, cardiac effects, orthostatic hypotension, weight gain, lower seizure thresholdExtrapyramidal movement disorders, male sexual dysfunction, endocrine dysfunctionMAOIs,§ meperidine (Demerol),§ vasoconstrictors,§ narcotics,§ decongestants§MAOIs,§ meperidine,§ vasoconstrictors,§ narcotics,§ decongestants§GI symptoms, sexual dysfunction, weight gain, headacheMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics§MAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§GI symptoms, anxiety, somnolence, sexual dysfunctionMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§GI symptoms, anxiety, somnolence, sexual dysfunctionMAOIs,§ tricyclic antidepressants, neuroleptics, antiarrhythmics,§ antihistamines§Anxiety, sexual dysfunction, increased blood pressure, mild sedation, visual symptomsMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsSedation, increased appetite, constipation, astheniaMAOIs,§ SSRIs, antihistamines,§ benzodiazopines, neurolepticsRecurrence risk after the first three episodes of major depression is 50, 70, and 90 percent, respectively.MAOIs, tricyclic antidepressants, trazodone (Desyrel), venlafaxine (Effexor)Bupropion (Wellbutrin), fluvoxamine (Luvox), MAOIs, venlafaxineFluoxetine (Prozac), fluvoxamine, paroxetine (Paxil), tricyclic antidepressants, trazodoneMAOIs, nefazodone (Serzone), tricyclic antidepressantsCitalopram (Celexa), fluoxetine, fluvoxamine, mirtazapine (Remeron), nefazodone, paroxetine, sertraline, tricyclic antidepressants, trazodone, venlafaxineBupropion, citalopram, fluoxetine, fluvoxamine, mirtazapine, paroxetine, sertraline, trazodone, venlafaxineMAOIs, tricyclic antidepressants (serotonin syndrome)Citalopram, fluoxetine, fluvoxamine, MAOIs, mirtazapine, paroxetine, sertraline, venlafaxineMAOIs, tricyclic antidepressants, trazodone (Desyrel), venlafaxine (Effexor)Bupropion (Wellbutrin), fluvoxamine (Luvox), MAOIs, venlafaxineFluoxetine (Prozac), fluvoxamine, paroxetine (Paxil), tricyclic antidepressants, trazodoneMAOIs, nefazodone (Serzone), tricyclic antidepressantsCitalopram (Celexa), fluoxetine, fluvoxamine, mirtazapine (Remeron), nefazodone, paroxetine, sertraline, tricyclic antidepressants, trazodone, venlafaxineBupropion, citalopram, fluoxetine, fluvoxamine, mirtazapine, paroxetine, sertraline, trazodone, venlafaxineMAOIs, tricyclic antidepressants (serotonin syndrome)Citalopram, fluoxetine, fluvoxamine, MAOIs, mirtazapine, paroxetine, sertraline, venlafaxineElectroconvulsive therapy (ECT) is a first-line option in patients with depression and psychotic features who have not responded to antipsychotic and antidepressant medications, and patients with severe nonpsychotic depression who have not responded to adequate trials of two antidepressants.
The serotonin syndrome. Onset of memory loss occurs before mood change.Concentration poor, patient complains of memory loss of recent and remote events, follows onset of depressed moodUnsociability, uncooperativeness, hostility, emotional instability, reduced alertness, confusion, disorientationThe safety and side effect profiles of selective serotonin reuptake inhibitors (SSRIs) make them the drugs of choice for treating most types of depression (with or without psychotic features).Dropout rates in patients taking SSRIs are generally two thirds to one half those of patients taking tricyclic antide-pressants.SSRIs generally are better tolerated than tricyclic antidepressants and MAOIs, possibly because they have a lower incidence of sedative and anticholinergic effects, little or no influence on cognition when taken in recommended dosages, and fewer adverse cardiovascular effects. There are many forms of short-term therapy (10-20 weeks) that have proven to be effective.

et al. Psychotherapy can play an important role in the treatment of depression with, or without, medication. Miller M, Mock J, The current system of care is fragmented and inadequate, and staff at residential and other facilities often are ill-equipped to recognize and treat patients with depression. Boswell EB, Other potentially sedating Factors that increase the risk of depression in the elderly include:There are several treatment options available for depression. This can happen during a visit for a chronic illness or at a wellness visit.In addition, advancing age is often accompanied by loss of social support systems due to the death of a spouse or siblings, retirement, or relocation of residence. Monotherapy is preferred, however, because compliance is enhanced and drug interactions and adverse effects are minimized.Drugs should be discontinued gradually to reduce the risk of unwanted effects such as dizziness, anxiety, headache, and flu-like symptoms. Because only 30 percent of the drug is protein bound, drug interactions may be less frequent.Nefazodone is structurally related to trazodone (Desyrel)In elderly patients with psychotic depression, the addition of an antipsychotic medication appears not to reduce relapse or disability, or improve recovery rates.At least two to six weeks of therapy are necessary to achieve a clinical response with all classes of antidepressants. Behavior patterns, personality traits, and patients’ expectations and preferences about treatment are also predictors of successful psychotherapy. Leaf PJ. (yes)Do you frequently get upset over little things?


Mood Disorders.