A member asked:

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. dosage and duration info appreciated.

4 doctors weighed in across 2 answers

SSRI: I'd start with an anti-depressant from the selective serotonin reuptake inhibitor group that have shown to be beneficial in cases of vascular dementia. Either zoloft (sertraline) (starting at 12.5 or 25 mg wth increase to 25 or 50 mg eventually and even higher doses) or Celexa starting at 10 mg and then increasing to 20-40 mg eventually may be a good start.

Answered 3/31/2016


Dr. Maureen Nash answered

Specializes in Geriatric Psychiatry

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations.

Answered 2/2/2017



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