How do stroke-risk considerations affect your use of atypical antipsychotics for patients with dementia?
Related Q&A on antipsychotics in Alzheimer's.
In light of the publication from Choma et al., PMID 41063545.
2 Answers
Mednet Member
Psychiatry · Thapar Renu K Office
Answered on
Antipsychotics carry a number of risks, including a warning of sudden death in elderly demented patients.
If nothing else works for a behavioral problem, you have to use an antipsychotic.
Also, for frank paranoia, which is not only causing distress to parents but also to the environment, treatment w...
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Mednet MemberInvited Expert
Psychiatry · Stanford Medicine Child And Adolescent Psychiatry
Answered on
I start by having a frank discussion with the patient and family, discussing the low but real risk, and discuss that other options have been tried. I ask the patient about their priorities, for example if dignity is more important right now than potential risk of stroke or even death, is that accept...
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