PMID- 21189108 OWN - NLM STAT- MEDLINE DCOM- 20110527 LR - 20131121 IS - 1440-1665 (Electronic) IS - 1039-8562 (Linking) VI - 19 IP - 1 DP - 2011 Feb TI - Pharmacological treatment of behavioural and psychological symptoms of dementia in psychogeriatric inpatient units. PG - 59-63 LID - 10.3109/10398562.2010.539611 [doi] AB - OBJECTIVE: This study involved an examination of the current patterns of pharmacological treatment of patients with behavioural and psychological symptoms of dementia (BPSD) in psychogeriatric inpatient units. METHOD: An audit was conducted of discharge medications of patients with BPSD who were hospitalized at three separate inpatient units in Perth, Western Australia over a 1-year period. RESULTS: Prescribing patterns were found to be relatively similar across the three units. Dementia-specific drugs such as choline-esterase inhibitors and memantine comprised a minority of prescribed medication. Antipsychotics, benzodiazepines and sodium valproate were the most commonly prescribed drugs. Cyproterone acetate was used in a small number of patients at each of the three units. CONCLUSIONS: The broad range of medications used to treat BPSD, the relatively modest place of dementia-specific drugs in this patient group, and the co-prescribing of more than one psychotropic agent in the majority of patients support the prevailing impressions that BPSD are difficult to treat and that there is no consistently effective or superior medication or drug group. FAU - Restifo, Sam AU - Restifo S AD - North Metropolitan Area Older Adult Mental Health Service, Perth, WA, Australia. sam.restifo@health.wa.gov.au FAU - Lemon, Vivienne AU - Lemon V FAU - Waters, Flavie AU - Waters F LA - eng PT - Journal Article DEP - 20101229 PL - England TA - Australas Psychiatry JT - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists JID - 9613603 RN - 0 (Androgen Antagonists) RN - 0 (Antipsychotic Agents) RN - 0 (Cholinesterase Inhibitors) RN - 0 (Hypnotics and Sedatives) RN - 0 (Psychotropic Drugs) RN - 614OI1Z5WI (Valproic Acid) RN - E61Q31EK2F (Cyproterone) SB - IM MH - Aged MH - Alzheimer Disease/complications/drug therapy/psychology MH - Androgen Antagonists/therapeutic use MH - Antipsychotic Agents/therapeutic use MH - Cholinesterase Inhibitors/therapeutic use MH - Cyproterone/therapeutic use MH - Dementia/complications/*drug therapy/*psychology MH - Dementia, Vascular/complications/drug therapy/psychology MH - Drug Prescriptions/statistics & numerical data MH - Female MH - Geriatric Psychiatry MH - Health Services for the Aged MH - Hospital Units MH - Humans MH - Hypnotics and Sedatives/therapeutic use MH - Informed Consent MH - Male MH - Medical Audit MH - Mental Disorders/*drug therapy/etiology/*psychology MH - Middle Aged MH - Psychiatric Department, Hospital MH - Psychotropic Drugs/*therapeutic use MH - Valproic Acid/therapeutic use MH - Western Australia EDAT- 2010/12/30 06:00 MHDA- 2011/05/28 06:00 CRDT- 2010/12/30 06:00 PHST- 2010/12/30 06:00 [entrez] PHST- 2010/12/30 06:00 [pubmed] PHST- 2011/05/28 06:00 [medline] AID - 10.3109/10398562.2010.539611 [doi] PST - ppublish SO - Australas Psychiatry. 2011 Feb;19(1):59-63. doi: 10.3109/10398562.2010.539611. Epub 2010 Dec 29.