Dementia Patients Routinely Overmedicated with Potent Antipsychotics, New Research Reveals
London, UK – A concerning new study from University College London (UCL) has revealed that individuals living with dementia are frequently being prescribed potent antipsychotic medications for longer durations and at higher doses than recommended guidelines advise.The research, analyzing data from nearly 10,000 patients, highlights a potentially harmful trend in dementia care, raising questions about patient safety and quality of life.
The study, published today, examined the records of 9,819 people aged between 60 and 85 who received their first antipsychotic prescription between 2000 and 2023. Researchers found a ”common” practice of repeatedly stopping and restarting these powerful drugs – a cycle that can be particularly distressing for individuals already grappling with cognitive decline.
While antipsychotics can be effective in managing severe behavioral and psychological symptoms associated with dementia, such as agitation and distress, leading health authorities like the National Institute for Health and Care excellence (NICE) emphasize their use should be reserved for only the most extreme cases and administered strictly under specialist supervision.
“These findings are deeply worrying,” says[Quotefromadementiaexpert-[Quotefromadementiaexpert-[Quotefromadementiaexpert-[Quotefromadementiaexpert-to be added]. “Overuse of antipsychotics in dementia patients carries significant risks,including increased risk of stroke,falls,and even premature death. The fact that these medications are being prescribed for extended periods and at higher-than-recommended doses suggests a critical need for review of prescribing practices.”
The UCL analysis points to a systemic issue, prompting calls for increased awareness among healthcare professionals regarding the appropriate use of these medications. Experts suggest a focus on non-pharmacological interventions - such as behavioral therapies, environmental adjustments, and improved interaction strategies – as first-line treatments for managing dementia-related behavioral symptoms.
Key Findings:
* Prolonged Use: Dementia patients are receiving antipsychotic medications for periods exceeding recommended guidelines.
* High Doses: Prescribed dosages are ofen higher than advised by health authorities.
* Stop-Start Cycle: A pattern of discontinuing and restarting antipsychotics is frequently observed.
* Large Sample Size: The study analyzed data from 9,819 individuals with dementia.
This research underscores the urgent need for a more cautious and individualized approach to dementia care, prioritizing patient well-being and minimizing the risks associated with needless medication.
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