Modafinil augmentation of mirtazapine in a failure-to-thrive geriatric inpatient

The failure-to-thrive syndrome in geriatric patients is marked by social withdrawal, apathy, depression, anorexia, and cognitive impairment. For therapy to be effective, the treatment plan must target several of these areas. This case report describes one such course of treatment for a patient with multiple myeloma with failure-to-thrive who was successfully treated with modafmil and mirtazapine. By using combination pharmacotherapy, we were able to achieve immediate results in a gravely ill patient.