A 76-year-old woman with Lewy body dementia has been started on Rivastigmine transdermal patch 4.6 mg/24 hours. After 4 weeks, she tolerates it well w...

Question

A 76-year-old woman with Lewy body dementia has been started on Rivastigmine transdermal patch 4.6 mg/24 hours. After 4 weeks, she tolerates it well with mild improvement in attention. What is the NEXT appropriate step?

Accepted Answer

Increase to 9.5 mg/24h patch after at least 4 weeks at the starting dose

Answer

Continue at 4.6 mg/24h indefinitely

Answer

Add Memantine immediately

Answer

Switch to Donepezil as it is more effective in LBD

Answer

Stop treatment as the improvement is only mild

uk-dgm MCQ (SBA): Rivastigmine Dose Titration in LBD

A 76-year-old woman with Lewy body dementia has been started on Rivastigmine transdermal patch 4.6 mg/24 hours. After 4 weeks, she tolerates it well with mild improvement in attention. What is the NEXT appropriate step?