Treatment of the elderly suffering from psychosis and dementia
T. Sunderland
Bok Engelsk 1996
| Utgitt | 1996
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|---|---|
| Omfang | Side 53- 56
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| Opplysninger | Studies with elderly demented subjects have suggested that overthostility agitation, hallucinosis, and hyperactivity are the mostlikely symptom profiles to respond to neuroleptics, but the availableresearch data do not point to any one clear choice of medications.Meanwhile, recent government regulations require specific diagnosis-related indications for the use of neuroleptics. Unfortunately, thereis still a general shortage of double-blind, placebo-controlledstudies with either typical or atypical neuroleptics. Clinicaltreatment with neuroleptics requires careful evaluation of allextrapyramidal and possible cognitive side effects, especially withdrugs having high anticholinergic potency. The long-term risk-benefitratio for the use of typical or atypical neuroleptics in elderlydemented patients is also uncertain, so adequate consideration shouldbe given to non-neuroleptic medications before initiating a long-termtrial of neuroleptics.
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| Emner |
