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Tricyclic antidepressants and children.

P Newcomb

    The Nurse Practitioner
    |May 1, 1991
    PubMed
    Summary

    Tricyclic antidepressants are increasingly used for childhood disorders like ADHD and depression. This article reviews their effectiveness and management in pediatric patients.

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Pharmacology

    Background:

    • Tricyclic antidepressants (TCAs) have a long history in treating pediatric conditions.
    • Their application in children and adolescents is expanding.
    • Growing evidence supports TCA efficacy in various childhood disorders.

    Purpose of the Study:

    • To review the established and emerging indications for TCAs in pediatric populations.
    • To discuss the therapeutic effects and management strategies for TCAs in children.
    • To provide insights for healthcare providers managing these treatments.

    Main Methods:

    • Literature review of studies on tricyclic antidepressant use in children.
    • Analysis of research supporting TCA efficacy for specific pediatric disorders.
    • Discussion of clinical management considerations.

    Main Results:

    • Tricyclic antidepressants are effective as adjunctive therapy for major depression, ADHD, enuresis, tic disorders, anxiety, and eating disorders in preadolescent children.
    • The range of indications for TCAs in this age group is broad.
    • Effective management requires careful consideration of specific issues.

    Conclusions:

    • Tricyclic antidepressants represent a valuable therapeutic option for a spectrum of childhood disorders.
    • Continued research and clinical experience are refining their use in pediatric care.
    • Healthcare providers play a crucial role in optimizing TCA treatment outcomes for children.

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