Prescribing for people with dementia - Carol Paton 262.2 KB

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Managing ‘behaviours that challenge’Management:• check physical health (constipation, pain, infection etc)• adapt surroundings (if possible)• ? depression• aromatherapy• antipsychotics
Managing ‘behaviours that challenge’Antipsychotics• traditionally widely used• association between risperidone and stroke/stroke likeevents (2004). RR=3, AR=1% or so.• olanzapine then other antipsychotics implicated• RCTs showing that the effect size was small• discontinuation studies find that most patients can stoptreatment <strong>with</strong> no adverse consequences• antipsychotics are not recommended as a routineintervention by NICE• need to document indication and review regularly• risperidone now licensed <strong>for</strong> short term management ofBPSD (up to 6/52)
Page 4 and 5: Do we do this?Medication review at
Page 6 and 7: NICE: the controversyJudicial revie
Page 8 and 9: TNAccess to treatmentEstimated prop
Page 10 and 11: Which drug to choose?Donepezil•Se
Page 14 and 15: Always a last resortThe proportion
Page 16 and 17: Medicines InformationQuestions abou

Prescribing for people with dementia - Carol Paton 262.2 KB

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