What is the first-line treatment for anxiety in elderly patients?

The first-line treatment for anxiety in elderly patients is often SSRIs (selective serotonin reuptake inhibitors). SSRIs are generally preferred due to their favorable side effect profile compared to other options. They are effective in treating various anxiety disorders and have a lower risk of dependence, which is a significant concern in older adults who may be more sensitive to the side effects of medications.

Benzodiazepines, while they may provide rapid relief for acute anxiety symptoms, are typically not recommended as first-line treatments for long-term management in the elderly due to the risk of cognitive impairment, sedation, and dependence. This makes benzodiazepines less appropriate as an ongoing treatment strategy.

Buspirone is an anxiolytic that can be considered, but it is not usually the first line due to its slower onset of action and sometimes limited efficacy for certain anxiety disorders.

Tricyclic antidepressants can be effective for anxiety but are also less commonly used as a first choice because they have a higher side effect burden, particularly in older adults, where polypharmacy and age-related sensitivity to medications can lead to increased side effects.

In summary, SSRIs are recognized as the first-line treatment for anxiety in elderly patients, prioritizing safety and efficacy while minimizing the risk of