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Psychiatry • Geriatric Psychiatry
How do you manage REM sleep disorder in geriatric patients with dementia associated with periods of catatonia?
Do you have any recommendations when benzodiazepines, antipsychotics, and melatonin have been tried with limited effect?
Answer from: at Community Practice
Melatonin helps with REM sleep behavior disorder in most but not all cases - a trial-and-error process.
Antipsychotics may not help with REM sleep behavior disorder (in fact, promoting slow-wave sleep worsens REM sleep behavior disorder), but may help with catatonia if the etiology is psychosis (st...
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