Aa
A
A
Close
Avatar universal
best drugs for anxiety in elderly with sleep problems
My mother is 80 and is on Cozaar (for blood pressure) and Pravastatin (for Cholesterol).  She is very agile for her age but has been having difficulty speaking, is anxious, sleeps very little and has recently had  some slight problems with gait.  Recent MRI found nothing remarkable.  I would like to know what you would recommend for anxiety that wouldnt keep her up. Ambien CR has not at all helped her to sleep.   A neurologist we only saw twice wants to put her on Lexapro for anxiety and wondered if there is something better?
Cancel
1 Answers
1 Answers
Page 1 of 1
579483 tn?1259467903
Taking into consideration her age of eighty-years, and co-morbid factors of arterial hypertension and hyperlipidemia, my recommendation would be Ativan - 0.25 mg, q.h.s. initially, titrating the dosage upward in 0.25 mg increments as-needed and as- tolerated.

Ativan has no appreciable effect on liver function (unlike Lexapro), Ativan would not accumulate excessively in the elderly (unlike Klonopin or Valium), and Ativan would provide guaranteed relief. Lexapro may prove to be overly stimulating. Lexapro is better suited for anxiety that recurs secondary to a depressive affect.

Serax is another (weaker) option. Speak with the neurologist.
Comment
Cancel
579483 tn?1259467903
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Recent Activity
Avatar universal
Blank
tabbyann111 added the Anxiety/Panic Tracker
21 mins ago
Avatar universal
Blank
tabbyann111 is ...worried Comment
22 mins ago
296076 tn?1371338074
Blank
melimeli Thank the Lord for Fridays! Comment
46 mins ago
Blank
Anxiety Tracker
Track Anxiety Symptoms
Start Tracking Now
Top Anxiety Answerers
Avatar m tn
Blank
anxiety860
Avatar m tn
Blank
Paxiled
Arlington, VA
358304 tn?1409713092
Blank
cnote
na, MO
675718 tn?1449992146
Blank
drifter0213
El Paso, TX
Avatar f tn
Blank
Gemfly
Avatar m tn
Blank
michigan07
Anxiety Community Resources
Top Anxiety Answerers
Avatar m tn
Blank
anxiety860
Avatar m tn
Blank
Paxiled
Arlington, VA
358304 tn?1409713092
Blank
cnote
na, MO
675718 tn?1449992146
Blank
drifter0213
El Paso, TX
Avatar f tn
Blank
Gemfly
Avatar m tn
Blank
michigan07