Antipsychotics for the Treatment of Behavioral and Psychological Symptoms of Dementia (BPSD)
2008

Antipsychotics for Treating Behavioral and Psychological Symptoms of Dementia

publication Evidence: moderate

Author Information

Author(s): Liperoti Rosa, Pedone Claudio, Corsonello Andrea

Primary Institution: Università Cattolica del Sacro Cuore

Hypothesis

What is the efficacy and safety of antipsychotics in treating behavioral and psychological symptoms of dementia?

Conclusion

Antipsychotics may provide some benefits for treating behavioral and psychological symptoms of dementia, but their use is associated with significant risks.

Supporting Evidence

  • Up to 90% of Alzheimer's patients may experience behavioral and psychological symptoms.
  • Antipsychotics have been used for decades, but newer compounds promise fewer side effects.
  • Evidence suggests that both risperidone and olanzapine may reduce aggression.

Takeaway

This study looks at how certain medications can help people with dementia who are acting out or feeling very upset. But these medicines can also cause serious problems.

Methodology

The review summarizes the pathophysiology and neuropharmacology of BPSD and discusses the efficacy and safety of antipsychotics.

Potential Biases

Potential bias due to the retrospective nature of some studies and the high placebo response rates.

Limitations

Limited evidence supports the use of antipsychotics for dementia, and many studies had small sample sizes.

Participant Demographics

Patients with dementia, including Alzheimer's disease and other types.

Digital Object Identifier (DOI)

10.2174/157015908784533860

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