I a m a 68 year old male suffering from high blood pressure, anxiety and stress some depression. I have read a lot of reviews on this site. Does not mention elderly. Thank you
Is escitalopram safe for seniors 65 and up?
Question posted by Anonymous on 19 Oct 2021
Last updated on 31 October 2022 (3 months ago) by Tugrul
I will be seeing my primary care doctor today about taking esctalopram for my issues of stress and anxiety, cardiologist suggested that i needed because of my recent spikes of blood pressure . I am on 4 blood pressure meds a day . Many deaths in the family this year and last . Just brought my wife home from hospital due to heart problems and he believes all these issues are causes of BP spikes.
Attempts of walking brìsk pace then really slowing the pace then brisk pace then medium pace ... 10000 steps or 5 miles every day for 6 months and more and more did me world of good.My Sys.BP 180 Dys BP 100 every day.Combined it with 2000 kcal/day diet.Now Sys.BP 120 Dys.BP 70 .Which took one year.
I think Wildcatvet pretty much nailed it with her answer. I do have one little thing to add however. I don't consider 68 to be elderly. My mum is 85 and I just can't see her as old. Elderly, yes but she still has all her marbles. Take care. :)
Yes, the recommended daily dosage for geriatric patients is usually 10mg/day. Extra caution is advised for patients with kidney or liver disorders.
"Usual Geriatric Dose for Depression/Anxiety:
Recommended dose: 10 mg orally once a day"
"SSRIs considered to have the best safety profile in the elderly are citalopram, escitalopram, and sertraline.  These have the lowest potential for drug-drug interactions based on their cytochrome P-450 interactions."
"When it comes to antidepressants for seniors, most experts recommend SSRIs or selective norepinephrine reuptake inhibitors (SNRIs), which help increase the brain chemicals serotonin and norepinephrine. These drugs tend to have fewer serious side effects and drug interactions than older antidepressants on the market."
I apologize for the copy/paste but I hope these excerpts may help alleviate your concerns.
- Escitalopram uses and safety info
- Escitalopram information for Healthcare Professionals (includes dosage details)
- Side effects of Escitalopram (detailed)
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