The use of antipsychotics among people treated with medications for dementia in residential aged care facilities

International Psychogeriatrics
Hee-Young ShinLisa G Pont

Abstract

Antipsychotic agents have limited efficacy for Behavioral and Psychological Symptoms of Dementia (BPSD) and there are concerns about their safety. Despite this, they are frequently used for the management of BPSD. This study aimed to assess the use of antipsychotics among people on anti-dementia medicines in Australian residential aged care facilities. Data were obtained from an individual patient unit dose packaging database covering 40 residential aged care facilities in New South Wales, Australia. Residents supplied an anti-dementia medicine between July 2008 and June 2013 were included. Prevalence of concurrent antipsychotic use was established. Incident antipsychotic users between January 2009 and December 2011 were identified. We examined initial antipsychotic dose, maximum titrated doses, type and duration of antipsychotic use, and compared use with Australian guidelines. There were 291 residents treated with anti-dementia medicines, 129 (44%) of whom received antipsychotics concomitantly with an anti-dementia medicine. Among the 59 incident antipsychotic users, risperidone (73%) was the most commonly used antipsychotic agent. Amongst the risperidone initiators, 43% of patients had initial doses greater than 0.5 mg/day a...Continue Reading

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Citations

Oct 4, 2016·Journal of Neurosciences in Rural Practice·Vaios PeritogiannisVenetsanos Mavreas
Mar 26, 2019·International Journal of Geriatric Psychiatry·Kimberly E LindJohanna I Westbrook
Jul 26, 2019·Alzheimer Disease and Associated Disorders·Kimberly E LindJohanna I Westbrook
Apr 13, 2018·American Journal of Alzheimer's Disease and Other Dementias·Tuan Anh NguyenElizabeth E Roughead
Jul 25, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Lisa M Kalisch EllettElizabeth E Roughead

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