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This change in comparison with previous APA guidelines has been criticized especially from some groups in Europe. However this can be readily identified and managed clinically and it should not deter clinicians from providing effective pharmacological treatment to those in need. Pin On Pharmacology Drug Cards Antidepressant medications can be helpful for many patients but caution is advised. . Antidepressants should be given to fewer patients and for shorter periods of time with patients made aware about possible difficulties in stopping treatment. SSRIs should also be used with caution in patients with cardiac disease or a history of bleeding disorders. March 28 2012 The selective serotonin reuptake inhibitor SSRI citalopram Celexa Forest Laboratories should not be used at doses greater than 20 mg per day in adults older than 60 years because of a potential risk for QT prolongation the FDA warns. Therefore caution must be...