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Topics:
Geriatric Psychiatry
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Primary Care
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Geriatric Medicine
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geriatric psyc
How would you recommend cross-titrating from paroxetine to another SSRI with less anticholinergic burden in an older adult?
Any pearls or tips re: how to design a taper strategy and when to start the alternative agent?
Related Questions
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?
What is your approach to deprescribing gabapentinoids so as to prevent withdrawal effects?
What is your approach to initiation of mirtazapine for appetite stimulation and depression in older adults, both in terms of starting dose and titration?
Do you routinely adjust your interpretation of SLUMS and/or MOCA tests in patients depending on their level of education?
How do you approach treating depressive symptoms in an older adult already taking an SSRI?
How do you determine whether to continue anti-dementia medications (such as cholinesterase inhibitors) for patients with dementia when enrolling in hospice?
What is your approach to a newly diagnosed LBBB in individuals >70 years old who are free of any signs or symptoms of heart disease and without other significant ASCVD risk factors besides age?
How do you recommend counseling patients on the prognosis of advanced cancer as a generalist who is not highly specialized in cancer literature or cancer-directed therapies?
In outpatient primary care settings, would you recommend routinely checking Cystatin-C as a marker of renal function in older adults?
How do you approach the frequency of DEXA scan monitoring for older adults on bisphosphonate therapy during the course of therapy?