TY - JOUR PY - 2010// TI - Sleep disorders, nightmares, depression and anxiety in an elderly patient treated with low-dose metoprolol JO - General hospital psychiatry A1 - Ahmed, Amir I. A. A1 - van Mierlo, Patricia A1 - Jansen, Paul SP - 646.e5 EP - 64600007 VL - 32 IS - 6 N2 - In the Netherlands, the prescription of beta-blockers to patients older than 70 years has increased sharply in recent years. The neuropsychiatric adverse reactions associated with the use of beta-blockers are relatively uncommon and they are mostly seen with poisoning or overdose. We describe an 81-year-old man who developed sleep disorders, nightmares, depression and anxiety as probable adverse effect of low-dose metoprolol (25 mg/day). This case illustrates not only the neuropsychiatric adverse reactions of beta-blockers, but also that diagnosis of these reactions can be easily missed in elderly patients.
Language: en
LA - en SN - 0163-8343 UR - http://dx.doi.org/10.1016/j.genhosppsych.2010.04.008 ID - ref1 ER -