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The SSRI antidepressants are
effective for treating many anxiety disorders and are generally safe for older
adults. However, they can have some uncomfortable side effects. For example,
taking Paxil, which has more anticholinergic properties, may result in mild
interference with memory. In general, the main drawbacks of SSRIs are that they
can induce more anxiety at first, and they take a fairly long time to work
(anywhere from 2 to 10 weeks). Doses for older individuals may also need to be
lower than usual starting amounts.
The benzodiazepines are commonly used
to treat anxiety, but they can create problems for older individuals. These
medications may interfere with memory when memory may already be failing. If
taken before bedtime, they may make it difficult to wake up and use the
bathroom at night. Benzodiazepines may increase the risk of stumbling and
falling. If there are any breathing problems, these medications may over-sedate
the breathing muscles and cause problems with more shortness of breath.
Increased anxiety may follow when people feel like they can't breathe
adequately.
Source: The Anxiety Answer Book by: Laurie A. Helgoe, PhD, Laura R. Wilhelm, PhD, Martin J. Kommor, MD
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