RESUMO
Various behaviors can be associated with dementing disorders. Management of these behaviors is often challenging to caregivers and clinicians. Verbal agitation such as talking constantly, screaming, and repeating phrases and noises is one of the most frequently encountered behaviors in the long-term care setting. We report two cases in which verbal agitation favorably responded to citalopram, a selective serotonin reuptake inhibitor. We also discuss some other factors possibly associated with this response. Nonetheless, citalopram appears to be an added option in the treatment of verbal agitation in demented patients.
Assuntos
Citalopram/farmacologia , Demência/complicações , Agitação Psicomotora/tratamento farmacológico , Inibidores Seletivos de Recaptação de Serotonina/farmacologia , Comportamento Verbal , Citalopram/uso terapêutico , Demência/tratamento farmacológico , Demência/psicologia , Humanos , Assistência de Longa Duração , Masculino , Pessoa de Meia-Idade , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Resultado do TratamentoAssuntos
Antidepressivos de Segunda Geração/uso terapêutico , Estimulantes do Sistema Nervoso Central/uso terapêutico , Cicloexanóis/uso terapêutico , Transtorno Depressivo/tratamento farmacológico , Metilfenidato/uso terapêutico , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Idoso , Quimioterapia Combinada , Humanos , Masculino , Cloridrato de VenlafaxinaRESUMO
Little has been written regarding the safety of electroconvulsive therapy (ECT) administered to patients with intracranial aneurysms. The literature is reviewed and we report two additional cases of ECT safely and effectively employed to treat depressed patients with intracranial aneurysms. We found no reported cases of aneurysm rupture associated with ECT. We do not feel the presence of intracranial aneurysm is a contraindication to ECT, in most patients, with appropriate monitoring and control of arterial blood pressure.