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Dementia: Prescription Options to Manage Symptoms

Drug therapy to treat Alzheimer’s Dementia should be considered a last resort and not a permanent solution. Medication only should be considered if there is an immediate threat to the patient or to others. If a drug treatment is being considered, it should be for specific symptoms as outlined below. It should begin with a low dosage and increase only if effective and necessary.

Medications should be reevaluated frequently for effectiveness and monitored for side effects of the treatment. If side effects appear, consider a dosage reduction or discontinuation before adding another medication to treat the side effects. If symptoms can be resolved, consider a gradual dose reduction at least every three to six months with the goal of discontinuing the drugs all together. If symptoms persist, consider alternative treatment and consult with a specialist.

Medications used to Manage the Neuropsychiatric Symptoms Associated with Dementia
Psychotic Symptoms
(Delusions,Hallucinations)
Low dose, second-generation antipsychotic including
risperidone, aripiprazole or quetiapine 
Depressive Symptoms Antidepressants, such as escitalopram, mirtazapine
and bupropion 
Apathy Antidepressants like escitalopram, mirtazapine or
bupropion 
Mania-like Behavioral Symptoms Mood stabilizers, which could include
divalproex sodium, lamotrigine and carbamazepine 



Original post may be found on alixaRX.com blog.

  
Guest Post by Dr. Albert Barber:

Dr. Barber is a Director of Pharmacy Services for alixaRx, a national long-term care pharmacy. He is responsible for clinical education and works on regulatory affairs for alixaRx. Previously he was Director of Pharmacy for Golden Living, a provider of long-term and post-acute care for residents needing skilled nursing and assisted living services. He currently serves as the clinical consultant pharmacist for Golden Living Kirtland, Ohio. Al also provides drug therapy consultations to seniors living in the community through his consulting practice, Clinical Rx Consulting. Primary areas of practice include: post-acute care, geriatrics, psychopharmacology, and pain management.

Al is a Past-President of the American Society of Consultant Pharmacists (ASCP). He also serves as national faculty for the APhA Medication Therapy Management Certificate Program.

Pedagogy offers several online continuing education courses for nurses and accredited courses for long term care administrators dealing with the management of dementia.

Dementia Diagnosis and Treatment for Administrators 
Dementia Diagnosis and Treatment: An Overview
Diagnosing Dementia
Introduction to Dementia
Massage and Compassionate Touch® in Dementia Care
Problem Solving Strategies in Dementia Care
Treatment of Dementia

Click on each title to learn more.
Posted: 1/28/2015 3:03:03 PM
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