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Would you prescribe amitriptyline or sertraline to an elderly?
- setraline - SSRI- safer
- amitrityline -- tricyclic
anti- muscarinic SEs: Constipation, urinary retention, dry mouth, glaucoma, drowsiness, dizziness, syncope, confusion, postural hypotension, hyponatraemia, hypothermia and cardiac arrhythmias.
- low dose with caution
interactions may also be problematic (e.g. with antiarrhythmics and antiepilectics)
- amitrityline -- tricyclic
anti- muscarinic SEs: Constipation, urinary retention, dry mouth, glaucoma, drowsiness, dizziness, syncope, confusion, postural hypotension, hyponatraemia, hypothermia and cardiac arrhythmias.
- low dose with caution
interactions may also be problematic (e.g. with antiarrhythmics and antiepilectics)
