Published: 9 August 2019
Author(s): Franchi Carlotta, Rossio Raffaella, Ardoino Ilaria, Nobili Alessandro, Mannucci Pier Mannuccio, REPOSI Collaborators
Issue: August 2019
Section: Letter to the Editor

Depression is often under-recognized in older patients, even if antidepressants (AD) are commonly prescribed, with a prevalence of use that increase with ageing [1]. Nevertheless, even if a diagnosis of depression is established, inappropriate treatment can occur [2]. Beers criteria are the most widely screening tools used to detect inappropriate prescription of drugs in people aged 65 years or more [3]. Since 2010, attempts to adapt the Beers' criteria have been made in Europe [4,5]. Tricyclic drugs are the ADs to be always avoided in the elderly, owing to their anticholinergic side effects, such as cognitive impairment, delirium, urinary retention and falls [3].

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The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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