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. 2020 Aug 3;21:695. doi: 10.1186/s13063-020-04460-6

Table 2.

Treatments and dosing schedule

Medication Licensed dose range in the elderly Notes from the registered summary of product characteristics
Vortioxetine 5–20 mg/day The minimum effective dose of 5 mg vortioxetine once daily should always be used as an initial dose for participants aged ≥ 65 years. Caution should be exerted when prescribing to elderly participants at doses > 10 mg vortioxetine once daily
Sertraline 50–200 mg/day Caution is required in the elderly, because these patients may be at greater risk of hyponatraemia
Paroxetine 20–40 mg/day In the elderly, increased plasma concentrations of paroxetine have been reported, however, within the range observed in younger patients. The treatment should start at the same doses used in adults
Citalopram 10–20 mg/day In the elderly, half of the dose range prescribed in adults is required
Escitalopram 5–10 mg/day In the elderly, half of the dose range prescribed in adults is required
Fluoxetine 20–60 mg/day Caution is required when the dose is increased in the elderly, and generally the daily dose should not be above 40 mg/day. The maximum recommended dose is 60 mg/day
Fluvoxamine 100–300 mg/day In elderly participants, titration should be slower and the dosage should always be established with caution