A 74-year-old woman with a diagnosis of Alzheimer's disease (MMSE 18/30) is brought to the GP by her daughter. The daughter reports that her mother ha...

Question

A 74-year-old woman with a diagnosis of Alzheimer's disease (MMSE 18/30) is brought to the GP by her daughter. The daughter reports that her mother has been increasingly agitated, accusing neighbours of stealing from her. She has no history of psychiatric illness. She is currently on Donepezil 10 mg daily. What is the MOST appropriate first-line management of her behavioural and psychological symptoms of dementia (BPSD)?

Accepted Answer

Structured non-pharmacological interventions including identifying triggers, person-centred activities, and carer education

Answer

Start Haloperidol 0.5 mg at night

Answer

Start Risperidone 0.25 mg twice daily

Answer

Start Citalopram 10 mg daily

Answer

Increase Donepezil to 23 mg daily

uk-dgm MCQ (SBA): BPSD Management in Alzheimer's Disease