ABSTRACT
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.
Subject(s)
Citalopram/pharmacology , Dementia/complications , Psychomotor Agitation/drug therapy , Selective Serotonin Reuptake Inhibitors/pharmacology , Verbal Behavior , Citalopram/therapeutic use , Dementia/drug therapy , Dementia/psychology , Humans , Long-Term Care , Male , Middle Aged , Selective Serotonin Reuptake Inhibitors/therapeutic use , Treatment OutcomeSubject(s)
Antidepressive Agents, Second-Generation/therapeutic use , Central Nervous System Stimulants/therapeutic use , Cyclohexanols/therapeutic use , Depressive Disorder/drug therapy , Methylphenidate/therapeutic use , Selective Serotonin Reuptake Inhibitors/therapeutic use , Aged , Drug Therapy, Combination , Humans , Male , Venlafaxine HydrochlorideABSTRACT
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.
