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How do you treat behavioral disturbances in patients with dementia with Lewy bodies?

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Mednet Member
Mednet Member
Neurology · University of Texas Health Science Center, San Antonio

The best medication for behavioral symptoms and Lewy body disease is a cholinesterase inhibitor. It reduces hallucinations and dream-like delirium. When more is needed, a small dose of quetiapine at night may be helpful. SSRIs reduce anxiety and can reduce aggression.

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Mednet Member
Mednet Member
Neurology · Emory University School of Medicine

These are all great suggestions, and I use them as well. However, sometimes you are in a situation in which you need a quicker fix; for example, I had a DLB patient who had a GI surgery and had worsening symptoms at home. Cholinesterase inhibitors and SSRIs as we know take several weeks to take full...

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