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Antipsychotic drugs and the elderly
The Journal of Clinical Psychiatry
|May 1, 1986
Summary
Antipsychotic medications can treat psychosis in older adults with conditions like schizophrenia or dementia. Careful selection is crucial due to higher risks and lower response rates in the elderly.
Area of Science:
- Geriatric Psychiatry
- Pharmacology
Background:
- Psychotic symptoms are prevalent in various geriatric disorders.
- Antipsychotic agents are a primary treatment modality for psychosis.
Purpose of the Study:
- To review the use of antipsychotic agents in elderly patients with psychotic symptoms.
- To highlight challenges and considerations for prescribing antipsychotics in geropsychiatry.
Main Methods:
- Literature review of antipsychotic use in elderly patients.
- Analysis of efficacy and adverse event profiles in geriatric populations.
Main Results:
- Antipsychotics can be beneficial for conditions like chronic schizophrenia, paraphrenia, dementia, and delirium in the elderly.
- Elderly patients, especially those with dementia, show lower response rates to antipsychotics.
- Elderly patients experience a higher incidence of adverse effects from antipsychotic medications.
Conclusions:
- Antipsychotic use in the elderly requires careful consideration of individual medical status.
- Appropriate drug selection can mitigate risks, reduce disability, and improve quality of life in geriatric patients with psychosis.