Depression (post stroke)

Question 1

Nortriptyline

Answer 1

specifically recommended by the Maudsley Guidelines for post-stroke depression.

Question 2

The following drugs are recommended for post stroke depression:

Answer 2

The following drugs are recommended for post stroke depression:-

SSRIs
Mirtazapine
Nortriptyline

Fluoxetine, citalopram, and nortriptyline are the most studied and seem to be effective and safe.

If patients are on warfarin then citalopram or escitalopram is recommended. Mianserin appears to be ineffective.

Question 3

An infarct in which region has been shown to lead to an increased risk of depression?

Answer 3

Basal ganglia