Jenike M A
J Am Geriatr Soc. 1984 Aug;32(8):571-5. doi: 10.1111/j.1532-5415.1984.tb06134.x.
Depression is an extremely common illness in the elderly, and is, at times, refractory to the usual therapies. The elderly are also particularly prone to develop toxic side effects from standard antidepressive agents. Monoamine oxidase inhibitors are rarely used in this population, although much evidence and clinical experience would indicate that they can be extremely effective and non-toxic. This paper outlines the indications and precautions for use and side effects of monoamine oxidase inhibitors in the treatment of depression in elderly patients.
抑郁症在老年人中是一种极为常见的疾病,而且有时对常规治疗难以奏效。老年人也特别容易出现标准抗抑郁药的毒副作用。单胺氧化酶抑制剂在这一人群中很少使用,尽管有大量证据和临床经验表明它们可能极为有效且无毒。本文概述了单胺氧化酶抑制剂在治疗老年患者抑郁症时的适应证、使用注意事项及副作用。