Tricyclic antidepressants for medically ill geriatric patients
Small, G.W.
Journal of Clinical Psychiatry 50 Suppl 27-31; Discussion: 32-33
1989
ISSN/ISBN: 0160-6689 PMID: 2661549 Document Number: 343708
The author reviews available data on tricyclic antidepressant (TCA) use in medically ill geriatric patients and data from controlled trials performed with physically healthy but depressed geriatric patients. Although these data point to the conclusion that medical illness appears to limit the use of TCAs in elderly patients, such agents as nortriptyline, desipramine, and doxepin can be used effectively. Guidelines are suggested to assist the clinician when confronted with this often complex and challenging patient population.