Management of Lewy Body Dementia

Addressing Lewy Body Dementia: This article offers a comprehensive guide on managing its diverse symptoms

2023-12-25 19:59:16 - Editor

Dementia

Use Rivastigmine

OR

Aricept


Motor problems

Carbidopa-Levodopa : Can worsen psychosis

Do not use Trihexyphenidyl (anticholinergics worsen confusion)


Depression

Use SSRI

Psychosis: For hallucinations and delusions use:

Clozapine (Avoid other antipsychotics such as Olanzapine)

OR

Pimavanserin (Nuplazid)

Antipsychotics are also dopamine antagonists and worsen parkinsonian symptoms

Parkinsonian meds are dopamine agonist and can worsen hallucinations.

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