07. Antidepressants: Adverse Effects in the Elderly
Key Points
- In general, TCAs are not recommended in geriatrics
- SIADH
- Not dose dependent
- Incidence: 12% with SSRIs
- The first sign can be a change in mental status
- It is recommended to check serum sodium before an SSRI is initiated and at weeks 1 and 2 after treatment begins
- All antidepressant classes are associated with: increased risk of falls, EPS and akathisia
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