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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?
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What SSRI would you generally start with for management of behavioral and psychological symptoms of dementia refractory to nonpharmacological therapy?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Geriatric Medicine · University of Minnesota
Answered on · Updated on

The best supported SSRI for BPSD generally is citalopram. Much of this came out of the CitAD trials [1]. This primarily showed citalopram may be useful for hyperactive behaviors, irritation, but also for depression and anxiety [1, 2]. The effect and response to citalopram, though, may be affected by...

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