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Prescribing patterns for psychotic and behavioural symptoms in dementia: a national survey

  • K. Scott, R. M. Lawrence, A. Duggal, C. Darwin, E. Brooks and G. Christodoulou (a1)...
Abstract
Aims and Method

To compare current prescribing practice for psychotic and behavioural symptoms in dementia with the available research. An anonymous questionnaire was sent to all members of the Faculty of Old Age Psychiatry, enquiring about preferred drug treatments.

Results

Classical antipsychotics were chosen by 50% for psychotic symptoms over atypical antipsychotics (43%) and were preferred for aggression (48%) and sexual disinhibition (55%). Antidepressants were favoured in treating anxiety (41%) and lability (45%).

Clinical Implications

Alternatives to classical antipsychotics, especially for behavioural symptoms, have yet to be researched satisfactorily. In view of the continued widespread use of classical antipsychotics and recent concerns about their safety, we call for this to be addressed.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bhana, N. & Spencer, C. M. (2000) Risperidone. A review of its use in the management of the behavioural and psychological symptoms of dementia. Drugs & Aging, 16(6), 451471.
British Medical Association & Royal Pharmaceutical Society of Great Britain (2000) British National Formulary. London & Wallingford: BMJ Books & Pharmaceutical Press.
Davis, L. L., Ryan, W., Adinoff, B., et al (2000) Comprehensive review of the psychiatric uses of valproate. Journal of Clinical Psychopharmacology, 20(suppl.1), 1S17S.
Harris, L. & Wier, M. (1998) Inappropriate sexual behavior in dementia: a review of the treatment literature. Sexuality and Disability, 16(3), 205217.
Herrmann, N. (2001) Recommendations for the management of behavioral and psychological symptoms of dementia. Canadian Journal of Neurological Science, 28(1), S96S107.
Katz, I. R., Jeste, D. V., Mintzer, J. E., et al (1999) Comparison of risperidone and placebo for psychosis and behavioral disturbances associated with dementia: a randomized, double-blind trial. Journal of Clinical Psychiatry, 60(suppl. 2), 107115.
Kirchner, V., Kelly, C. A. & Harvey, R. J. (2001) Thioridazine for dementia. The Cochrane Library, issue 4. Oxford: Update Software.
Levy, M. L., Cummings, J. L. & Kahn-Rose, R. (1999) Neuropsychiatric symptoms and cholinergic therapy for Alzheimer's disease. Gerontology, 45(suppl. 1), 1522.
Schneider, L. S. (1999) Pharmacologic management of psychosis in dementia. Journal of Clinical Psychiatry, 60(suppl. 8), 5460.
Schneider, L. S., Pollock, V. E. & Lyness, S. A. (1990) A meta-analysis of controlled trials of neuroleptic treatment in dementia. Journal of American Geriatric Society, 38, 553563.
Street, J. S., Clark, W. S., Gannon, K.S., et al (2000) Olanzapine treatment of psychotic and behavioral disease in nursing care. Archives of General Psychiatry, 57(10), 968976.
Tariot, P. N. (1999) Treatment of agitation in dementia. Journal of Clinical Psychiatry, 60 (suppl. 8), 1120.
Tariot, P. N., Erb, R., Podgorski, C. A., et al (1998) Efficacy and tolerability of carbamazepine for agitation and agression in dementia. American Journal of Psychiatry, 155, 5461.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Prescribing patterns for psychotic and behavioural symptoms in dementia: a national survey

  • K. Scott, R. M. Lawrence, A. Duggal, C. Darwin, E. Brooks and G. Christodoulou (a1)...
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