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Antipsychotic medications for older adults with delirium admitted to hospital
Christina Reppas-Rindlisbacher, Lesley Wiesenfeld and Nathan M. Stall
CMAJ August 14, 2023 195 (31) E1038-E1039; DOI: https://doi.org/10.1503/cmaj.230227
Christina Reppas-Rindlisbacher
Division of General Internal Medicine and Geriatrics (Reppas-Rindlisbacher, Stall), Sinai Health System and the University Health Network; Women’s College Research Institute (Reppas-Rindlisbacher, Stall), Women’s College Hospital; Department of Medicine (Reppas-Rindlisbacher, Stall) and of Psychiatry (Wiesenfeld), University of Toronto; Division of Psychiatry (Wiesenfeld), Sinai Health System, Toronto, Ont.
MDLesley Wiesenfeld
Division of General Internal Medicine and Geriatrics (Reppas-Rindlisbacher, Stall), Sinai Health System and the University Health Network; Women’s College Research Institute (Reppas-Rindlisbacher, Stall), Women’s College Hospital; Department of Medicine (Reppas-Rindlisbacher, Stall) and of Psychiatry (Wiesenfeld), University of Toronto; Division of Psychiatry (Wiesenfeld), Sinai Health System, Toronto, Ont.
MD MHCMNathan M. Stall
Division of General Internal Medicine and Geriatrics (Reppas-Rindlisbacher, Stall), Sinai Health System and the University Health Network; Women’s College Research Institute (Reppas-Rindlisbacher, Stall), Women’s College Hospital; Department of Medicine (Reppas-Rindlisbacher, Stall) and of Psychiatry (Wiesenfeld), University of Toronto; Division of Psychiatry (Wiesenfeld), Sinai Health System, Toronto, Ont.
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Antipsychotic medications for older adults with delirium admitted to hospital
Christina Reppas-Rindlisbacher, Lesley Wiesenfeld, Nathan M. Stall
CMAJ Aug 2023, 195 (31) E1038-E1039; DOI: 10.1503/cmaj.230227
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- Antipsychotic medications are commonly used in hospital for the management of patients with delirium
- Antipsychotic medications should not be used as standard treatment for delirium
- Antipsychotic medications may be considered for patients with delirium experiencing severe agitation or distress
- Assessment of individual risks and benefits is warranted prior to use given serious adverse effects
- Frequent reassessment of treatment should be undertaken for dose reduction or discontinuation
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