An older adult has been started on an antidepressant for symptoms of feeling sad with feelings of worthlessness and hopelessness. What is the best dosing strategy for this client?
a. Start with a low dose and advance at a moderate rate.
b. Start with a slow dose and advance in a slow manner.
c. Start at a high dose and then reduce the dose based on symptoms.
d. Start at a moderate dose and then reduce as needed.
B
Care must be taken in all older clients in prescribing antidepressants and to monitor for drug interactions since many older adults are on multiple medications. As with most medications, dosages given to medically frail and older clients are generally started at a lower dosage and advanced in a slower manner.
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