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Dementia antipsychotic review — DGM MCQ

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ModerateDementiaDementia antipsychotic reviewDGM

An 88-year-old woman with dementia has become less mobile and more drowsy since treatment for agitation was started. The agitation has settled and there is no psychosis. She has had two falls this month. Current medicines include risperidone, colecalciferol and macrogol. Which medication should be reviewed?

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Correct answer: E — Risperidone

Antipsychotics used for behavioural symptoms in dementia should be time-limited and reviewed because they increase falls, sedation and stroke risk. Colecalciferol, macrogol, paracetamol and lubricants do not explain sedation and reduced mobility. Documented indication, target symptoms and review date are essential when antipsychotics are used.

Reference: NICE NG97; BNF