Table 2.
Antidepressant drugs used and recommended in the Italian pediatric haemato-oncology setting.
Antidepressive Drug | Age | Recommended Dose | Side Effects |
---|---|---|---|
Fluoxetine Fluvoxamine (approved for ≥ 18) * |
>5 years old | 10–20 mg/die 50–200 mg/die |
Headaches, gastrointestinal side effects, feeling jittery, disinhibited, activated impulsivity, agitation, and suicidality |
Citalopram (approved for ≥ 18) * |
>6 years old, especially in adolescent patients | 10–40 mg/die | Headaches, gastrointestinal side effects, feeling jittery, disinhibited, activated impulsivity, agitation, and suicidality |
Escitalopram (approved for ≥ 18) * |
pre-puberty post-puberty |
5–20 mg/die 1–16 mg/die |
Headaches, gastrointestinal side effects, feeling jittery, disinhibited, activated impulsivity, agitation, and suicidality |
Sertraline (approved for ≥ 18) * |
6–17 years old | 12.5–200 mg/die | Headaches, gastrointestinal side effects, feeling jittery, disinhibited, activated impulsivity, agitation, and suicidality |
Nortriptyline Desipramine Amitriptyline (approved for ≥ 18) * |
>6 years old >12 years old >12 years old |
1–3 mg/kg/die 25–100 mg/die 10–200 mg/die |
Cardiovascular and anticholinergic side effects. May be lethal in overdose. |
Mirtazapine (approved for ≥ 18) * |
>6 years old | 7.5–45 mg/die | Somnolence, QTc prolongation, weight gain, and agranulocytosis |
* Note: the approval of the drugs refers to the EMA.