A 71-year-old man with recently diagnosed Lewy body dementia (DLB) has prominent visual hallucinations and fluctuating cognition. According to NICE NG...

Question

A 71-year-old man with recently diagnosed Lewy body dementia (DLB) has prominent visual hallucinations and fluctuating cognition. According to NICE NG97, which pharmacological treatment should be considered for his cognitive symptoms and hallucinations?

Accepted Answer

Rivastigmine - an AChEI licensed for mild to moderate dementia associated with Parkinson's disease and also recommended for DLB

Answer

Donepezil as first-line for DLB

Answer

Memantine alone as first-line

Answer

Haloperidol for the hallucinations

Answer

Olanzapine for the fluctuating cognition

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

A 71-year-old man with recently diagnosed Lewy body dementia (DLB) has prominent visual hallucinations and fluctuating cognition. According to NICE NG97, which pharmacological treatment should be considered for his cognitive symptoms and hallucinations?