Letters
SSRIs may well be best treatment for elderly depressed subjects
BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7131.631 (Published 14 February 1998) Cite this as: BMJ 1998;316:631- Richard J Porter, Clinical lecturer in psychiatry,
- John T O'Brien, Senior lecturer in old age psychiatry
- Department of Psychiatry, University of Newcastle, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP
EDITOR—In his review of mental health in old age Macdonald advocates the use of dothiepin as a first line antidepressant.1 He suggests that the selective serotonin reuptake inhibitors should usually be reserved for cases in which tricyclic antidepressants fail or are contraindicated. Although it is impossible in a brief review article to cover fully the advantages and disadvantages of different drugs, we think it important to highlight that, as in younger patients, rational choice of a first line …
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