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Is citalopram good for elderly?

Standard

Is citalopram good for elderly?

Citalopram capsules is not recommended for use in the elderly because an adjustment in the dose is not possible with the available dose strength of this medicine. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of citalopram in the elderly.

Is Celexa a good antidepressant for the elderly?

SSRIs considered to have the best safety profile in the elderly are citalopram, escitalopram, and sertraline. [16] These have the lowest potential for drug-drug interactions based on their cytochrome P-450 interactions.

Which antidepressants should be avoided in the elderly?

Tricyclic antidepressants, especially amitriptyline and dothiepin,16 are known to pose a high risk of death in overdosage. These drugs should therefore be avoided in older people whose medication is not supervised and who are at risk of taking an overdose.

What are the most common side effects of Celexa?

The more common side effects of Celexa can include:

  • sweating, including hot flashes.
  • tremor.
  • digestive system problems, such as nausea, vomiting, diarrhea, upset stomach, constipation.
  • fatigue (lack of energy) or sleepiness.
  • muscle or joint aches.
  • insomnia (trouble sleeping)
  • anxiety or feeling agitated.
  • appetite changes.

Can Over 65s take citalopram?

For both citalopram and escitalopram, elderly patients have a higher exposure due to age-related decline in metabolism and elimination. The maximum dose of both medicines has therefore been restricted in patients older than 65 years.

What is the best anxiety medication for seniors?

Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) Venlafaxine is FDA-approved for GAD and social anxiety disorder and has been found effective for treatment of anxiety in the elderly [38] Similar to the side effect profile in SSRIs, sexual side effects are seen with venlafaxine, as well as sweating.

What is the safest anti anxiety medication for elderly?

Buspirone is an anti-anxiety drug that has been shown to be effective for older adults. Benzodiazepines, another anti-anxiety drug, are effective but should be prescribed carefully to older adults because of risk of memory impairment, unsteadiness, and falls.

Is it better to take Celexa in the morning or at night?

If you find that Celexa makes you drowsy, take it in the evening, so you’re more alert during the day. However, if it keeps you awake, take it in the morning instead.

What should you not take with Celexa?

Do not use citalopram with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), methylene blue injection, tryptophan, St John’s wort, amphetamines, or some pain or migraine medicines (eg, rizatriptan, sumatriptan, tramadol, Frova®, Imitrex®, Maxalt®, Relpax®, Ultram®, Zomig®).

What can I replace citalopram with?

Cymbalta.

  • Bupropion.
  • Zoloft.
  • Lexapro.
  • Prozac.
  • Wellbutrin XL.

    • Is 10mg citalopram enough for anxiety?

    Dosage and strength The usual dose of citalopram is 20mg a day for adults. But you might start at a lower dose and increase to a maximum dose of 40mg a day. If you are taking citalopram to prevent panic attacks, your starting dose will usually be 10mg once a day.

    What is the safest anti-anxiety for the elderly?