Abstract

Patients with dementia frequently experience comorbid behavioral and psychiatric symptoms that are harmful to both patients and their caregivers and contribute to the high healthcare costs associated with Alzheimer’s dementia. Despite their frequent use in the past, there is limited evidence to support the efficacy of first-generation antipsychotics. Second-generation antipsychotics may be modestly helpful for reducing global neuropsychiatric symptoms, psychosis, and agitation/aggression but are associated with potentially serious adverse reactions. The decision to utilize an antipsychotic requires thoughtful consideration of the potential risks and benefits for the individual patient.

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