A member asked:

What is the best drug (specific ssri) for pseudo dementia (due to depression) in a otherwise healthy 85 y f ?dose and course?thanks...

8 doctors weighed in across 4 answers
Dr. Pamela Pappas answered

Specializes in Psychiatry

Evaluation first: This woman needs to see a geriatric psychiatrist regarding questions about "pseudodementia." without clear evaluation and diagnosis, treatment could go astray. She also needs a general medical checkup by her primary care physician. Reversible causes of dementia can be found & treated. Psychiatrist can implement any needed medications for depression or dementia, monitoring results carefully.

Answered 12/9/2013

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Test question?: I am unsure there is only one answer to you question. If healthy otherwise and if limited to the ssris would generally want to go with a low dose at first, with little risk of orthostasis or anticolinergic effects. We want an intermediate half life that would not stay in the system too long.... So 5 mg of Lexapro (escitalopram) or 25 mg of zoloft would be my recommendation. Increase slowly in 3-5 week if needed.

Answered 5/7/2016

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Dr. Alan Ali answered

Specializes in Psychiatry

Pseudo dementia: Best advice can come from a geriatric specialist that can assess and closely monitor you. Wish u the best.

Answered 10/3/2016

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Dr. Maureen Nash answered

Specializes in Geriatric Psychiatry

No single medicine: Works for everyone. Take the person to see a geriatric psychiatrist for specific advice.

Answered 9/7/2013

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