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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest An Antidepressant For A CA Patient

Hi, I wonder if Citalopram or escitalopram (medication for depression treatment ) can be used for cavanous angioma (in spinal cord ,had hamorrage 2 years ago) patient? will them cause or increase CA hamorrage or bleeding? What antidepresant (treat major depression)would you suggestion for CA patient (18 years old)? Thank you very much!
Wed, 22 Jul 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern.

Regarding the relation with the cavernous angioma you shouldn't worry much as there is no harmful effect on the cavernoma, no increased risk of bleeding. As for the choice SSRI (citalopram) are a good choice, but they have frequent effects on loss of sexual drive, so a tricyclic like Amitriptyline might be better in a young individual.
It should be discussed with a psychiatrist though, especially in a 18 year old, because there is worry about potential increased suicide risk in use of these antidepressants before the age of 21.

I hope to have been of help.
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Suggest An Antidepressant For A CA Patient

I read your question carefully and I understand your concern. Regarding the relation with the cavernous angioma you shouldn t worry much as there is no harmful effect on the cavernoma, no increased risk of bleeding. As for the choice SSRI (citalopram) are a good choice, but they have frequent effects on loss of sexual drive, so a tricyclic like Amitriptyline might be better in a young individual. It should be discussed with a psychiatrist though, especially in a 18 year old, because there is worry about potential increased suicide risk in use of these antidepressants before the age of 21. I hope to have been of help.