Lithium augmentation in the treatment of refractory depression in old age
作者:
E. J. L. Finch,
C. L. E. Katona,
期刊:
International Journal of Geriatric Psychiatry
(WILEY Available online 1989)
卷期:
Volume 4,
issue 1
页码: 41-46
ISSN:0885-6230
年代: 1989
DOI:10.1002/gps.930040110
出版商: John Wiley&Sons, Ltd.
关键词: Lithium;depression;geriatric psychiatry
数据来源: WILEY
摘要:
AbstractA retrospective study of treatment and outcome is described in 59 consecutive referrals to a catchment psychogeriatric service meeting ICD9 criteria for manic depressive illness or depressive neurosis. Of 22 who failed to respond to tricyclic antidepressants, nine (of whom four had also failed to respond to ECT) were treated by lithium augmentation. Systematic comparisons between lithium‐treated subjects, tricyclic responders and others failing to respond to tricyclics revealed no significant demographic differences. Lithium augmentation was successful in 6/9 subjects. Two ‘lithium failures’ were treated with tranylcypromine to good effect. At follow‐up (median six months, range 3–20 months) 7/9 subjects in the lithium‐treated group were well. This was similar to the follow‐up status in tricyclic responders and significantly better than outcome in the other tricyclic non‐responders. Lithium augmentation appears to be a relatively well‐tolerated treatment manoeuvre in refractory depression in old age, with treatment response similar to that reported in younger subjects, and may be of particular use whe
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