Sertraline for dementia

Discussion in 'Canadian Meds' started by fuldon, 23-Aug-2019.

  1. blackdiamond Guest

    Sertraline for dementia


    Objective To determine the effect of discontinuing antidepressant treatment in people with dementia and neuropsychiatric symptoms. Design Double blind, randomised, parallel group, placebo controlled trial. Setting Norwegian nursing homes; residents recruited by 16 study centres in Norway from August 2008 to June 2010. Participants 128 patients with Alzheimer’s disease, dementia or vascular dementia, and neuropsychiatric symptoms (but no depressive disorder), who had been prescribed escitalopram, citalopram, sertraline, or paroxetine for three months or more. We excluded patients with severe somatic disease or terminal illness, or who were unable to take tablets or capsules as prescribed. Interventions Antidepressant treatment was discontinued over one week in 63 patients, and continued in 68 patients. We assessed patients at baseline, four, seven, 13, and 25 weeks. Preventing dementia has become a top goal for medical experts as cases continue to rise. The most common form of dementia, Alzheimer’s disease, is the sixth-leading cause of death in the United States. Now a new large study published in the BMJ medical journal provides evidence that a certain type of common drug may increase the risk of developing dementia. Researchers concluded that people who took class 3 anticholinergic drugs were more likely to develop dementia, even if they took the drugs years before they developed the condition. Anticholinergic drugs are able to block a neurotransmitter chemical called acetylcholine in the central or peripheral nervous system. Depending on which part of the nervous system is affected, it can result in a myriad of reactions. The study found that people with dementia were more likely to have taken the stronger class 3 anticholinergic drugs before they developed dementia. “Unlike many other studies which rely on patient recall, this study did not, which was a major strength,” Devi told Healthline. The researchers were based at the University of East Anglia in the United Kingdom, Purdue and Indiana Universities in the United States, and other institutions. The increased risk varied for different types of drugs, but went up to 30 percent in certain cases. Gayatri Devi, a neurologist at Lenox Hill Hospital in New York City and author of “The Spectrum of Hope: An Optimistic and New Approach to Alzheimer’s Disease and other Dementias,” explained that the study was a strong one due to its large size and the use of U. “Anticholinergic medications can potentially lower the levels of the brain chemical acetylcholine, which is an important messenger in memory pathways.

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    Antidepressants such as sertraline, citalopram, mirtazapine and trazodone are widely prescribed for people with dementia who develop. Zoloft generic name sertraline is part of a large family of antidepressants known as SSRI’s selective serotonin reuptake inhibitors which increase serotonin in the brain. It is used for many different conditions such as depression, anxiety disorders and obsessive compulsive disorder. Types of Medication For Difficult Behaviors in Dementia. that is very common when people develop dementia. Sertraline brand name Zoloft is an SSRI-type.

    Certain anti-dementia drugs, antidepressants and anticonvulsants may also be helpful in treating behavioural symptoms. There is less evidence about whether some of these drugs work than there is for antipsychotics, but they also generally have less-severe side effects. There are two types of anti-dementia drugs that are routinely offered to people with Alzheimer’s disease, mixed dementia (Alzheimer's disease with vascular dementia) and sometimes dementia with Lewy bodies. The use of these drugs has been well studied in people with Alzheimer’s disease and they generally cause only minor side effects. They should not be offered to people with ‘pure’ vascular dementia or frontotemporal dementia as they haven’t been shown to bring any benefits. For more information see Drug treatments for Alzheimer’s disease. One of these drugs, memantine, slows the progression of some symptoms (for example, disorientation) in people with moderate to severe Alzheimer’s disease. An 85-year-old man with advanced dementia presents to your office accompanied by his daughter. She is upset because he has been increasingly agitated and combative in the evenings. You wonder if antidepressants can improve his symptoms. There are few high-quality studies examining the effectiveness of antidepressants for treating the neuropsychiatric symptoms of dementia. Although there is some evidence to support the use of the selective serotonin reuptake inhibitors (SSRIs) sertraline (Zoloft) and citalopram (Celexa), they should be used only if nonpharmacologic interventions are unsuccessful. (Strength of Recommendation: B, based on inconsistent or limited-quality patient-oriented evidence.) Agitation and psychosis are common among older adults with dementia and are challenging to manage. At the present time, little is known about the effectiveness and safety of antidepressant medications when used to treat these symptoms. We searched the Cochrane Dementia and Cognitive Improvement Group’s Specialized Register, which included Cochrane Central Register of Controlled Trials (The Cochrane Library 2009, Issue 3), Medline (January 1950 to October 2009), EMBASE (1980 to October 2009), CINAHL (all dates to October 2009), and Psyc INFO (1806 to October 2009).

    Sertraline for dementia

    Two types of drugs you may want to avoid for the sake of your brain., Zoloft and Dementia - Reviews - Page 3 - Treato

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  6. Antidepressants linked to an increased risk of dementia, including Alzheimer's, new Canadian research finds.

    • Antidepressants Linked To Dementia Including Alzheimer's..
    • Types of Medication to Treat Difficult Alzheimer's Behaviors.
    • Sertraline and mirtazapine do more harm than good for people with..

    The two classes of antidepressants most likely to be prescribed for depression in Alzheimer's disease are no more effective than placebo," the study authors said. The drugs in question are Zoloft sertraline, and Remeron mirtazapine. If there is dementia or significant cognitive im­pairment, then the Cornell Scale for Depression in Dementia CSDD is the gold standard. The CCSD relies on an interview with a family member or caregiver as well as with the patient, and is validated for use with nondemented and demented depressed elderly. Sertraline for the Treatment of Patients With Frontal Lobe Dementia FLD. Sertraline is a serotonin reuptake blocker that is relatively easy to give once daily.

     
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