Efficacy and safety of risperidone oral solution in agitation associated with dementia in the elderly

Arquivos de Neuro-Psiquiatria

Jerson Laks²  Eliasz Engelhardt²  Valeska Marinho²  Marcia Rozenthal²  Fernando De Castro E Souza²  Josué Bacaltchuk¹  Alberto Stoppe Jr.¹  R.c.r. Ferreira¹  Cassio Bottino¹  Mônica Scalco¹ 

[1] ,Federal University of Rio de Janeiro Institute of Psychiatry Psychogeriatric UnitRio de Janeiro RJ ,Brazil

关键词: risperidone;    dementia;    BPSD;    elderly;    risperidona;    demência;    BPSD;    idosos;   

DOI  :  10.1590/S0004-282X2001000600005

来源: SciELO

【 摘 要 】

BACKGROUND: Behavioral and psychological symptoms in dementia (BPSD) contribute to caregiver burden and institutionalization of elderly. Neuroleptics are prescribed to control agitation. Side effects of typical neuroleptics are harmful, making atypical neuroleptics an indication. OBJECTIVES: To evaluate efficacy and tolerability of risperidone oral solution (ROS) given once daily to demented elderly outpatients with BPSD (agitation). METHOD: Patients (n=26), 76.35±8.63 years, Diagnostic and Statistical Manual of Mental Disorders 4th ed. (DSM-IV) criteria for dementia. RSO was given, starting dose of 0.25 mg and increments of 0.25 mg every week. Mini-Mental State Examination (MMSE) assessed cognitive status, Behavioral and Emotional Activities Manifested in Dementia (BEAM-D) and Clinical Global Impression (CGI) measured BPSD, Extrapiramidal Symptom Rating Scale (ESRS) evaluated extrapyramidal symptoms. Cardiovascular side effects were evaluated clinically. RESULTS: There was a 26% reduction in agitation and no cardiovascular side effects in the range from 1.0 to 1.25 mg. Side effects were more prevalent above 2.5 mg. CONCLUSION: Risperidone oral solution improved agitation with good tolerability from 0.5 to 1.25 mg. A single dose with increments of 0.25 mg may be more acceptable to patients and caregivers.

【 授权许可】

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