Mrs. Swenson is a 71-year-old patient who has been referred to mental health services for evaluation and management of dementia
Medications with anticholinergic effects that would be useful for Mrs. Swenson should be avoided or used very sparingly. Anticholinergics are a class of antipsychotic and antihistamine medications, among others, that can cause significant memory impairment following long-term use. Examples include those commonly used to treat allergies and depression, as well as some drugs prescribed for gastrointestinal problems and urinary incontinence. Other medications most likely to have an anticholinergic effect include diphenhydramine, oxybutynin, and propantheline.”
By identifying the patient’s cognitive deficits early, a multidisciplinary approach allows for a more effective intervention.
What is the best medication to treat vascular dementia?
Antipsychotics, including aripiprazole and risperidone, are commonly prescribed for behavioral symptoms associated with dementia. However, these medications may have side effects that may contribute to cognitive impairment, include sedation, weight gain, agitation and extrapyramidal symptoms.
Mrs. Swenson is a 71-year-old patient who has been referred to mental health services for evaluation and management of dementia. She recognized her own cognitive deficits and discussed them with her primary care provider, who advised that she seek specialty care. After performing a comprehensive assessment, the PMHNP diagnoses the patient with vascular dementia. While reviewing her medication list from the PCP, the PMHNP recognizes that which of the following medications may be contributing to Mrs. Swenson’s cognitive impairment?