Question

An 84-year-old woman with Alzheimer dementia in residential care is increasingly agitated and calling out, disturbing other residents. Non-pharmacological strategies have been optimised. She is not psychotic or depressed. What is the most appropriate pharmacological approach?

Accepted Answer

Consider a short trial of low-dose antipsychotic with regular review and clear indication

Answer

Start long-term high-dose antipsychotic without review

Answer

Use benzodiazepines regularly at night

Answer

Start valproate as mood stabiliser

Answer

No treatment as behaviours are inevitable

Practice question

An 84-year-old woman with Alzheimer dementia in residential care is increasingly agitated and calling out, disturbing other residents. Non-pharmacological strategies have been optimised. She is not psychotic or depressed. What is the most appropriate pharmacological approach?