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Geriatric Medicine

Geriatric Psychiatry   

Questions discussed in this category

How do you select between antipsychotics in the treatment of delirium refractory to nonpharmacological management in hospitalized older adults with dementia?
From a geriatrics harm-reduction standpoint, can we recommend any particulars regarding dosing or selection of therapies when used as a last resort?
2 Answers available
How do you manage sleep disturbances in patients with Alzheimer’s disease without relying heavily on deliriogenic medications?
2 Answers available
How do you choose among SSRIs and dosing strategies for the management of behavioral and psychological symptoms of dementia?
What factors might drive decisions for different SSRIs and/or doses?
1 Answer available
How do you approach treating depressive symptoms in an older adult already taking an SSRI?
Would you consider adding a second medication versus uptitrating the original SSRI?
1 Answer available
What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
2 Answers available
What is your antipsychotic of choice and general titration regimen in the outpatient setting for a patient with dementia and behavioral disturbances (assuming reversible causes such as urinary retention, constipation, etc. have been addressed)?
2 Answers available
Do you consider using buspirone for the management of anxiety in older patients?
4 Answers available
What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?
1 Answer available
How do you decide when to initiate medical workup (e.g., thyroid, B12, infection) in a geriatric patient experiencing new onset or worsening low mood?
2 Answers available


Papers discussed in this category

Archives of general psychiatry, 2008 Dec
Incidence and recurrence of late-life depression.
Current nutrition reports, 2022 Sep 13
Is Vitamin D Important in Anxiety or Depression? What Is the Truth?
Journal of pain and symptom management, 2002-05
An open-label, crossover trial of mirtazapine (15 and 30 mg) in cancer patients with pain and other distressing symptoms.
Annals of internal medicine, 2025 Sep 30
Trends in Dispensed Gabapentin Prescriptions in the United States, 2010 to 2024.
British journal of clinical pharmacology, 2023 Jun 13
Deprescribing interventions for gabapentinoids in adults: A scoping review.
Journal of the American Geriatrics Society, 2013 Sep
Gabapentin withdrawal: case report in an older adult and review of the literature.
The Cochrane database of systematic reviews, 2006-07-19
Azapirones for generalized anxiety disorder.
Psychiatry and clinical neurosciences, 2010 Feb 01
Randomized, single-blind, trial of sertraline and buspirone for treatment of elderly patients with generalized anxiety disorder.
Basic & clinical pharmacology & toxicology, 2023 Jun 20
Serotonin syndrome-A focused review.
Ochsner journal, 2013 Winter
Serotonin syndrome.
The American journal of psychiatry, 2016-05-01
Heterogeneity of Treatment Response to Citalopram for Patients With Alzheimer's Disease With Aggression or Agitation: The CitAD Randomized Clinical Trial.
The American journal of psychiatry, 2016-05-01
Effects of Citalopram on Neuropsychiatric Symptoms in Alzheimer's Dementia: Evidence From the CitAD Study.
JAMA, 2014 Feb 19
Effect of citalopram on agitation in Alzheimer disease: the CitAD randomized clinical trial.
Frontiers in aging neuroscience, 2023 Mar 03
Comparative efficacy and safety of antidepressant therapy for the agitation of dementia: A systematic review and network meta-analysis.
Journal of Alzheimer's disease : JAD, 2020
The Efficacy of Sertraline, Escitalopram, and Nicergoline in the Treatment of Depression and Apathy in Alzheimer's Disease: The Okayama Depression and Apathy Project (ODAP).
Journal of the American Geriatrics Society, 2025 Apr 28
Treatment of Inappropriate Sexual Behavior in Persons With Dementia: A Systematic Review.
Journal of the American Geriatrics Society, 2016 Mar 23
Antipsychotic Medication for Prevention and Treatment of Delirium in Hospitalized Adults: A Systematic Review and Meta-Analysis.
The Cochrane database of systematic reviews, 2018 Jun 18
Antipsychotics for treatment of delirium in hospitalised non-ICU patients.
JAMA, 2011-09-28
Efficacy and comparative effectiveness of atypical antipsychotic medications for off-label uses in adults: a systematic review and meta-analysis.
The Cochrane database of systematic reviews, 2014-03-21
Pharmacotherapies for sleep disturbances in Alzheimer's disease.
Translational psychiatry, 2022 Apr 01
Sleep in Alzheimer's disease: a systematic review and meta-analysis of polysomnographic findings.
Journal of sleep research, 2020 Dec 02
Pharmacological and non-pharmacological interventions to enhance sleep in mild cognitive impairment and mild Alzheimer's disease: A systematic review.
Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society, 2016 Jan 27
Mirtazapine does not improve sleep disorders in Alzheimer's disease: results from a double-blind, placebo-controlled pilot study.
European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2022 Dec 01
Effects of quetiapine on sleep: A systematic review and meta-analysis of clinical trials.
CNS drugs, 2024 Aug 09
Effects of Trazodone on Sleep: A Systematic Review and Meta-analysis.

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