A 78-year-old woman with Lewy body dementia is experiencing distressing visual hallucinations that have not responded to a reduction in her dopaminerg...

Question

A 78-year-old woman with Lewy body dementia is experiencing distressing visual hallucinations that have not responded to a reduction in her dopaminergic medication. She is on Rivastigmine patch 9.5 mg/24h. Non-pharmacological measures have been tried. What is the MOST appropriate pharmacological option if an antipsychotic must be considered?

Accepted Answer

Quetiapine 12.5 mg at night with very careful monitoring

Answer

Haloperidol 0.5 mg at night

Answer

Chlorpromazine 25 mg at night

Answer

Aripiprazole 5 mg daily

Answer

Fluphenazine depot injection

uk-dgm MCQ (SBA): Antipsychotic Choice in Lewy Body Dementia