Vascular depression in elderly: response to treatment with antidepressant associated to cholinesterase inhibitor
DOI:
https://doi.org/10.1590/S0101-60832007000600006Keywords:
Vascular depression, vascular dementia, Alzheimer's disease, stroke, neuroimagingAbstract
CONTEXT: Among neuropsychiatric disorders caused by cerebrovascular factors, vascular depression is diagnosed in a small degree by general practitioners, causing morbid-mortality increase in elderly. CASE REPORT: That is a case of a 67 year-old-man with partial response after treatment with a Selective Serotonin Receptors Inhibitor, and severe autonomic adverse effects with other antidepressants. The addition of rivastigmine to citalopram resulted in a therapeutic success, with a reduction of 23 to 7 points on the Hamilton Depressive Scale (HAM-D). DISCUSSION: The result obtained brings new perspectives to the treatment of vascular depression, providing that randomized controlled trials with larger sample sizes confirm the positive effect of the addition of a cholinesterase inhibitor to antidepressants in the treatment of these patients.Downloads
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Published
2007-01-01
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Case Report
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How to Cite
Vascular depression in elderly: response to treatment with antidepressant associated to cholinesterase inhibitor . (2007). Archives of Clinical Psychiatry, 34(6), 290-293. https://doi.org/10.1590/S0101-60832007000600006