- Last edited on February 5, 2024
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geri:dementia:lewy-body [on April 11, 2019] |
geri:dementia:lewy-body [on April 17, 2019] |
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===== Treatment ===== | ===== Treatment ===== | ||
==== Pharmacotherapy ==== | ==== Pharmacotherapy ==== | ||
- | <callout type="danger" title="Typical antipsychotics are contraindicated in LBD" icon="true">A severe sensitivity reaction occurs in an estimated 25-50% of LBD patients administered typical antipsychotic drugs (especially haloperidol) in the usual dose range.[([[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913181/|Boot, B. P., McDade, E. M., McGinnis, S. M., & Boeve, B. F. (2013). Treatment of dementia with Lewy bodies. Current treatment options in neurology, 15(6), 738-764.]])] This results in cognitive impairment, sedation, increased/irreversible acute onset of parkinsonism, or symptoms resembling [[meds:side-effects:nms|neuroleptic malignant syndrome]]. If an antipsychotic must be used, then low potency atypical antipsychotics like clozapine or quetiapine should be used.[([[https://www.lbda.org/go/er|Lewy Body Dementia Association: Emergency Room Treatment of Psychosis]])] | + | <callout type="danger" title="Typical antipsychotics are contraindicated in LBD" icon="true">A severe sensitivity reaction occurs in an estimated 25-50% of LBD patients administered typical antipsychotic drugs (especially haloperidol) in the usual dose range.[([[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913181/|Boot, B. P., McDade, E. M., McGinnis, S. M., & Boeve, B. F. (2013). Treatment of dementia with Lewy bodies. Current treatment options in neurology, 15(6), 738-764.]])] This results in cognitive impairment, sedation, increased/irreversible acute onset of parkinsonism, or symptoms resembling [[meds:antipsychotics:nms-neuroleptic-malignant-syndrome|neuroleptic malignant syndrome]]. If an antipsychotic must be used, then low potency atypical antipsychotics like clozapine or quetiapine should be used.[([[https://www.lbda.org/go/er|Lewy Body Dementia Association: Emergency Room Treatment of Psychosis]])] |
</callout> | </callout> | ||