The diagnostic valuation and treatment of the elderly patient requires special considerations. Since the elderly patient most likely has underlying comorbid conditions and is often subject to polypharmacy, he is particularly vulnerable to adverse side effects not seen with younger patients.
Therefore, use of antipsychotics in the elderly should be optimized to avoid the incidence of side effects, such as extrapyramidal symptoms, tardive dykinesia, somnolence, weight gain, insulin resistance, and cardiovascular effects. This presentation will discuss the most effective treatment strategies of antipsychotics in the elderly, with particular focus on atypical antipsychotics. The approach outlined will serve to provide the clinician with insights into the management of the elderly patient in whom antipsychotic medication is indicated.
References: Maguire, G. Impact of antipsychotics on geriatric patients: efficacy, dosing, and compliance. J Clin Psych (Primary Care Companion) 2000;2:165-172.
Targum, S. Treating psychotic symptoms in elderly patients. J Clin Psych (Primary Care Companion) 2001;3:156-163.
Kumar, V et al. Psychopharmacology of atypical antipsychotics and clinical outcomes in elderly patients. J Clin Psych 1999;60(suppl 13):5-9.
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