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Drug Development.

Juliana de Oliveira Alves1, Marcelo Henrique Quaresma Castro Salomão2

  • 1Universidade Feevale, Novo Hamburgo, Rio Grande do Sul, Brazil.

Alzheimer'S & Dementia : the Journal of the Alzheimer'S Association
|December 25, 2025
PubMed
Summary
This summary is machine-generated.

Managing behavioral and psychological symptoms of dementia (BPSD) requires individualized pharmacological strategies. This analysis reviews medications for BPSD, emphasizing lowest effective doses and shortest durations to minimize risks.

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Area of Science:

  • Neurology
  • Psychiatry
  • Pharmacology

Background:

  • Dementia affects 47 million globally, with Behavioral and Psychological Symptoms of Dementia (BPSD) significantly impacting patient and caregiver quality of life.
  • BPSD encompass agitation, aggression, delusions, and hallucinations, necessitating effective management strategies.

Purpose of the Study:

  • To analyze and compare pharmacological management strategies for BPSD in dementia patients.
  • To provide an overview of medication options and their associated risks and benefits.

Main Methods:

  • A comparative analysis of three scientific articles from the Medline database.
  • Focus on pharmacological treatments for dementia-related behavioral symptoms.

Main Results:

  • Antipsychotics (typical and atypical) are common for agitation and psychosis, but carry risks like increased mortality and cerebrovascular events.
  • SSRIs, acetylcholinesterase inhibitors, memantine, analgesics, and anticonvulsants show varied efficacy and side effect profiles.
  • Haloperidol is for emergencies due to high side effect risk; risperidone, aripiprazole, and quetiapine offer alternatives with specific indications.

Conclusions:

  • Individualized pharmacological management is crucial, considering patient symptoms, comorbidities, and frailty.
  • Medications should be used at the lowest effective dose and for the shortest duration possible to mitigate adverse effects.