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Correspondence
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Volume 340:320 January 28, 1999 Number 4
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Antidepressants and Falls among Nursing Home Residents

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 by Thapa, P. B.
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To the Editor: Thapa et al. (Sept. 24 issue)1 performed an important retrospective study of the risk of falls among nursing home residents receiving antidepressants. The increased risk of falls with the use of tricyclic antidepressants is not surprising, but the increased risk of falls with the selective serotonin-reuptake inhibitors is.

The authors explain the increased rate of falls on the basis of an increased rate of depression coinciding with increased disability, and they note the hypothesis that the health of residents of long-term care facilities changes (for the worse) about the time the residents begin to receive antidepressants. The . . . [Full Text of this Article]

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