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Teachable Moment
Less Is More
November 2016

Antidepressant Prescription in the Geriatric PopulationA Teachable Moment

Author Affiliations
  • 1Division of Cardiology, Massachusetts General Hospital, Boston
  • 2Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston
  • 3Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, Minnesota
JAMA Intern Med. 2016;176(11):1608-1609. doi:10.1001/jamainternmed.2016.5535

A woman in her 60s with hypertension, diabetes, hyperlipidemia, and coronary artery disease was brought to the emergency department by her daughter for nausea, confusion, fatigue, and loss of appetite for 3 days. The daughter stated that the patient had been feeling sad since her sister passed away 6 weeks prior and was recently prescribed fluoxetine by her primary care physician 2 weeks earlier. On physical examination she was lethargic, only oriented to place and person, and had slow speech. Laboratory studies revealed serum sodium levels of 124 mmol/L.

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